Individual provider Active NPI

Alex T Prior, LICSW

  • Clinical Social Worker
  • Wellesley, MA
National Provider Identifier
1619025111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106346 Issued in MA
Practice address
8 Grove St.
Suite 303 - Grove Street Counseling
Wellesley, MA 01862-7741
Phone
(781) 431-7323
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 106346 MA Primary

Addresses

Primary practice location

8 Grove St.
Suite 303 - Grove Street Counseling
Wellesley, MA 01862-7741

Mailing address

8 Grove St.
Suite 303 - Grove Street Counseling
Wellesley, MA 01862-7741
Phone (781) 431-7323

Other identifiers 2

IdentifierTypeStateIssuer
986020OtherMABLUE CROSS PROVIDER NUMBE
106346OtherMALICENSED INDEPENDENT SOCI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20031104000569 MA Practitioner - Clinical Social Worker 9537071899 Practice locations: Wellesley, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Grove St
Wellesley, MA 02482-7741
Phone (781) 431-7323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Key Program, Incorporated. Clinical PastSince Nov 1, 2020 Accepting new patients
The Key Program, Incorporated. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619025111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GROVE ST.",
            "address_2": "SUITE 303 - GROVE STREET COUNSELING",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "018627741",
            "telephone_number": "781-431-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GROVE ST.",
            "address_2": "SUITE 303 - GROVE STREET COUNSELING",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "018627741",
            "telephone_number": "781-431-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOR",
        "first_name": "ALEX",
        "middle_name": "T",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "986020",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT SOCI",
            "identifier": "106346",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.