Alexandrea May Floyd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10638 Issued in NM

Practice address

224 W D.L. Ingram Ave BDG 1408
Cannon AFB, NM 88103-5103

Phone

(505) 289-1042

NPI assigned

Aug 7, 2016

Last updated

Sep 2, 2020By 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

Other identifiers 1

Other names 1

• Alexandrea Borton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1470528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1649724725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W D.L. INGRAM AVE BDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "755-784-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W D.L. INGRAM AVE BDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035103",
            "telephone_number": "505-289-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "ALEXANDREA",
        "middle_name": "MAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-07",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05274826",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDREA",
            "last_name": "BORTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miah Selena Eidenschink, LCSW
• Nicholas Y Eisenberg, MD
• Jason Anthony Evans, IDMT
• Riley Everson, LCSW
• Jesse Ferrell, IDMT
• Geoffrey Garst, M.D., M.P.H.
• Mavis Gee, NP
• Trisha E Gibbons, PA-C, APA
• Marisa Gopaul
• Austin Gottschalk, DO

• Clinical Social Worker in Cannon AFB, NM
• Providers in Cannon AFB, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.