Alexis M Eggenberger, MSSA, LISW-S, BCBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1303111 Issued in OH

Practice address

2105 Lawrence Ave
Toledo, OH 43606-4822

Phone

(419) 291-7031

NPI assigned

May 18, 2011

Last updated

May 5, 2022By 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 2

Addresses

Other names 1

• Ms. Alexis M Liebenthal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avenues for Autism

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1205579885

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1518250950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515734",
            "telephone_number": "419-704-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 LAWRENCE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436064822",
            "telephone_number": "419-291-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGENBERGER",
        "first_name": "ALEXIS",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSSA, LISW-S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1303111",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-14-17072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "LIEBENTHAL",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "MSSA, LISW-S, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Marie Effler, M.D.
• Tina Egan
• Tariere M Egbe
• Nathan D Egbert, MD
• Sharon Marie Egbert, COTA
• Leslie Sue Ehle, C.N.P.
• Jacquelyn Ann Ehman, LISW-S, LICDC-CS
• Nathaniel Ehni, PHARMD
• Kate Ehret, RN
• Grace Anne Ehrmantraut, LPC

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.