Alexis Vandecarr, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082604-1 Issued in NY

Practice address

250 South Ave
Poughkeepsie, NY 12601-4838

Phone

(845) 554-1374

NPI assigned

Mar 2, 2011

Last updated

Jun 13, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Creating Balance, LCSW, P.C.

  • Clinical Social Worker
  • Wappingers Falls, NY
  • NPI 1902519861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1588962492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GARY PL",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903010",
            "telephone_number": "845-632-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SOUTH AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014838",
            "telephone_number": "845-554-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDECARR",
        "first_name": "ALEXIS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082604-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Van Buren, PA
• Jessica N Van Kleeck, LCSW
• Craig Nassau Van Roekens, MD
• Katelynn Van Zutphen, LMHC
• Laura Vanamburgh, COTA
• Cindy Belch Vandermark, LCSW
• Manvitha Reddy Vanga, MBBS
• Cristie Vangorden, LPN
• Fred Charles Vannatta, M.D.
• Jo-Ann F Vannorstrand, LPN

• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.