Alexandria Elizabeth Poe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024906 Issued in IL

Practice address

16 Kas Villa Acres
Sullivan, IL 61951-9107

Phone

(217) 521-9276

NPI assigned

Oct 6, 2022

Last updated

Jan 9, 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 IL

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ap Therapeutic Practice LLC

  • Clinical Social Worker
  • Sullivan, IL
  • NPI 1134833718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1629793260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KAS VILLA ACRES",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619519107",
            "telephone_number": "217-521-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KAS VILLA ACRES",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619519107",
            "telephone_number": "217-521-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "ALEXANDRIA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petersen Health Care II, Inc. (Sullivan Rehabilitation & Health Care Center)
• Petersen Health Care II, Inc. (Courtyard Estates of Sullivan)
• Petersen Health Care VII LLC (Mason Point)
• Petersen Health Care, Inc (Eastview Terrace)
• Victoria Phelps, BS
• Darby Lynn Poe, CRSS
• Kaylee Purcell
• Reed Pharmacies, LLC (Oakwood Apothecary)
• Reed Pharmacies, LLC (Oakwood Apothecary)
• Cindi L Reed, PHARM.D.

• Clinical Social Worker in Sullivan, IL
• Providers in Sullivan, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.