Alexa Briana Gavrilov, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023663 Issued in PA

Practice address

140 Yorkshire Way
Hatboro, PA 19040-2112

Phone

(267) 397-6226

NPI assigned

Nov 1, 2021

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NJ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: alexa.gavrilov@advocaredoctors.eclinicaldirectplus.com

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1609531003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 YORKSHIRE WAY",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402112",
            "telephone_number": "267-397-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 YORKSHIRE WAY",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402112",
            "telephone_number": "267-397-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRILOV",
        "first_name": "ALEXA",
        "middle_name": "BRIANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foresight Vision Services Inc
• Carly Foster
• Jeanette I Frye, MA
• Tania Nicole Gagner, MT-BC
• Andrea Gahagan, LCSW
• Morgan Gbaanador, DMD
• Genesis Eldercare Rehab Services
• Eric G George, M.D.
• Gianfranco Giacca
• Gifted Guardians Home Care, LLC

• Clinical Social Worker in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.