Alexis Deignan, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09929512 Issued in CO

Practice address

627 Kimbark St
Longmont, CO 80501-4910

Phone

(715) 577-3737

NPI assigned

Jul 14, 2020

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1568070704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 GROVE ST APT 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026494",
            "telephone_number": "715-577-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 KIMBARK ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014910",
            "telephone_number": "715-577-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Grove St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803026494",
            "country_code": "US",
            "telephone_number": "715-577-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEIGNAN",
        "first_name": "ALEXIS",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-01-24",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929512",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Andrew Decino, B.A.
• Amanda Deckelbaum
• Anthony Richard Declusin, MD
• Donna G Deffke
• Eric Defonso, LMT
• Anastasia E Dejulio
• Kaitlyn Delancey, DDS
• Bryant Luis Delgado, M.D.
• Anthony M Delmonico
• Karen Delvecchio, NP

• Clinical Social Worker in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.