Active NPI
Dejanique Alexander
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1518567148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P014953
- Practice address
- 107 Sunnybrook Rd
Raleigh, NC 27610-1827 - Phone
- (984) 974-4800
- NPI assigned
- Nov 1, 2020
- Last updated
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P014953 | NC | |
| Clinical Social Worker | 1041C0700X | P014953 | NC | Primary |
Addresses
Primary practice location
107 Sunnybrook Rd
Raleigh, NC 27610-1827
Mailing address
107 Sunnybrook Rd
Raleigh, NC 27610-1827
Other practice location 1
3012 Falstaff Rd
Raleigh, NC 27610-1813
Phone (919) 443-5085
Other practice location 2
2101 Garner Rd Ste 113
Raleigh, NC 27610-4687
Phone (919) 832-4453 ext. 1419
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Gmail |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014953 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1518567148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101827",
"telephone_number": "984-974-4800"
}
],
"practiceLocations": [
{
"address_1": "3012 Falstaff Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101813",
"country_code": "US",
"telephone_number": "919-443-5085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Garner Rd Ste 113",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276104687",
"country_code": "US",
"telephone_number": "919-832-4453 x1419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXANDER",
"first_name": "DEJANIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-01",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P014953",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P014953",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Gmail",
"affiliation": "N",
"address_1": "3012 Falstaff Rd",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.