Alexis Stribbling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011502 Issued in VA

Practice address

4191 Innslake Dr Ste 211
Glen Allen, VA 23060-3324

Phone

(804) 303-9622

NPI assigned

Oct 9, 2020

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

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 and National Provider Directory roles.

• Zoestyle Medicine

  • Obesity Medicine (Preventive Medicine) Physician
  • Glen Allen, VA
  • NPI 1518680966
  NPD
• Dr. Goldberg & Associates

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1437586526
  NPD (past)

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1649878869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 INNSLAKE DR STE 211",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603324",
            "telephone_number": "804-303-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 INNSLAKE DR STE 211",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603324",
            "telephone_number": "804-303-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1749 Old Meadow Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024322",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRIBBLING",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Elizabeth Stites
• Madison Nicole Stone
• Samantha S Stone, PT, DPT, CMTPT
• Sabrina Roche Stouffs
• Katherine Ann Straley, OD
• Sarah Stryhn, LCSW
• Kimberly Dawn Sturgill, PHARMD
• Monica Sumpter
• Yi Sun, M.D
• Surya P Dhakar DDS PC

• Clinical Social Worker in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.