Individual provider Active NPI

Alexandra D. Hall, LCSW

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1679369029
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW23984 Issued in FL
Practice address
11436 Sandstone Hill Ter
Boynton Beach, FL 33473-7806
Phone
(859) 324-6240
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 LCSW23984 FL Primary

Addresses

Primary practice location

11436 Sandstone Hill Ter
Boynton Beach, FL 33473-7806

Mailing address

11436 Sandstone Hill Ter
Boynton Beach, FL 33473-7806
Phone (859) 324-6240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250623000633 FL Practitioner - Clinical Social Worker 7416469895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

21865 Ponderosa Dr
Boca Raton, FL 33428-6215
Phone (786) 414-6666

623 S Federal Hwy
Boynton Beach, FL 33435-4935
Phone (786) 414-6666

7091 Atlantic Ave
Delray Beach, FL 33446-1601
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW23984FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Memory Health, Inc. CurrentSince May 9, 2025 Accepting new patients

Locations

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817

Organizations & group practices 1

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": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1679369029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11436 SANDSTONE HILL TER",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737806",
            "telephone_number": "859-324-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11436 SANDSTONE HILL TER",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737806",
            "telephone_number": "859-324-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ALEXANDRA",
        "middle_name": "D.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LCSW23984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.