Active NPI
Alexis N Crook, LCSW, MPH, PHD
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1689096471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 256460
- Practice address
- 4229 Bardstown Rd
Louisville, KY 40218-3241 - Phone
- (502) 416-4614
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 256460 | KY | Primary |
Addresses
Primary practice location
4229 Bardstown Rd
Louisville, KY 40218-3241
Mailing address
10219 Riverstone Cir
Louisville, KY 40229-5228
Phone (502) 322-7071
Other practice location 1
6801 Dixie Hwy
Louisville, KY 40258-3913
Phone (502) 322-7071
Other practice location 2
207 Parker Dr
LA Grange, KY 40031-1269
Phone (502) 322-7071
Other practice location 3
5115 S 3rd St Frnt
Louisville, KY 40214-2601
Phone (502) 233-3030
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alexis@louisvillementalhealth.org | Direct | |
| Direct Messaging Address | alexis@louisvillementalhealth.org | Direct | |
| Direct Messaging Address | alexis@louisvillementalhealth.org | Direct | |
| Direct Messaging Address | alexis@louisvillementalhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256460 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Path to Recovery, LLC | Current | Accepting new patients | |
| Path to Transformation LLC | Current | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1881333136
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lexington, KY
- NPI 1720779093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1689096471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10219 RIVERSTONE CIR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402295228",
"telephone_number": "502-322-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183241",
"telephone_number": "502-416-4614"
}
],
"practiceLocations": [
{
"address_1": "6801 Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402583913",
"country_code": "US",
"telephone_number": "502-322-7071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 Parker Dr",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "KY",
"postal_code": "400311269",
"country_code": "US",
"telephone_number": "502-322-7071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5115 S 3rd St Frnt",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402142601",
"country_code": "US",
"telephone_number": "502-233-3030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROOK",
"first_name": "ALEXIS",
"middle_name": "N",
"credential": "LCSW, MPH, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "256460",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexis@louisvillementalhealth.org",
"affiliation": "N",
"endpointDescription": "secured email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10219 Riverstone Cir",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402295228",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexis@louisvillementalhealth.org",
"affiliation": "N",
"endpointDescription": "secured email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10219 Riverstone Cir",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402295228",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexis@louisvillementalhealth.org",
"affiliation": "N",
"endpointDescription": "secured email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "207 Parker Dr",
"city": "LA Grange",
"state": "KY",
"country_code": "US",
"postal_code": "400311269",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexis@louisvillementalhealth.org",
"affiliation": "N",
"endpointDescription": "secured email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6801 Dixie Hwy",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402583913",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.