Alexis Shea Strouse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012754 Issued in NC

Practice address

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907

Phone

(704) 364-6594

Fax

(704) 362-4176

NPI assigned

Apr 29, 2013

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1477997864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 PROVIDENCE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265907",
            "telephone_number": "734-780-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 PROVIDENCE RD STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265907",
            "telephone_number": "704-364-6594",
            "fax_number": "704-362-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUSE",
        "first_name": "ALEXIS",
        "middle_name": "SHEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009947",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C102754",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Stroud
• Sharika J Stroud, LCSWA
• Caroline Stroup
• David White Stroup, DDS
• Sarah N Stroup, MS, RD, LDN
• Dawn D Strouse, SLP
• Kasey Strouse, RDN, LDN, CEDS
• Kimberly Struble
• Structure Therapeutic Services
• Strump Chiropractic and Health (Premier Health and Rehab Solutions)

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.