Individual provider Active NPI

Alexa Elizabeth Roseman, MSW, LCSWA

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1548730989
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013094 Issued in NC
Practice address
4160 Piedmont Pkwy Ste 107
Greensboro, NC 27410-8178
Phone
(336) 931-1800
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X C014252 NC
Clinical Social Worker 1041C0700X P013094 NC Primary

Addresses

Primary practice location

4160 Piedmont Pkwy Ste 107
Greensboro, NC 27410-8178

Mailing address

4160 Piedmont Pkwy Ste 107
Greensboro, NC 27410-8178
Phone (336) 931-1800

Other practice location 1

1001 Reynolda Rd
Winston Salem, NC 27104-3245
Phone (336) 721-7600

Other practice location 2

134 Infield Ct
Mooresville, NC 28117-8026
Phone (704) 799-6824

Other practice location 3

280 Charlois Blvd
Winston Salem, NC 27103-1588
Phone (704) 799-6824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013094NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Monarch Current Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Monarch CurrentSince Nov 1, 2022 Accepting new patients
Monarch CurrentSince Nov 1, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Youth Villages, Inc. PastSince Aug 2, 2020 Accepting new patients
Lolly Therapeutics, LLC Clinical Past Accepting new patients
Integrative Therapy Concepts Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

3057 Freedom Dr
Charlotte, NC 28208
Phone (704) 334-2226

2609 N Duke St
Ste 1000
Durham, NC 27704
Phone (919) 220-4000

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1548730989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 PIEDMONT PKWY STE 107",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108178",
            "telephone_number": "336-931-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 PIEDMONT PKWY STE 107",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108178",
            "telephone_number": "336-931-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Reynolda Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271043245",
            "country_code": "US",
            "telephone_number": "336-721-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Infield Ct",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178026",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031588",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "ALEXA",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014252",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.