Active NPI
Brock D'Alessandri, CSW
- Clinical Social Worker
- Keene, KY
National Provider Identifier
1689479602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 260286
- Practice address
- 106 Keene South Elkhorn Rd
Keene, KY 40339-9998 - Phone
- (502) 517-9418
- NPI assigned
- Feb 14, 2025
- Last updated
- Jul 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 255316 | KY | |
| Clinical Social Worker | 1041C0700X | 260286 | KY | Primary |
Addresses
Primary practice location
106 Keene South Elkhorn Rd
Keene, KY 40339-9998
Mailing address
PO Box 19
Nicholasville, KY 40340-0019
Phone (502) 517-9418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255316 | KY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Employment Solutions Inc | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifePath Behavioral Clinic
- Community/Behavioral Health Agency
- Lexington, KY
- NPI 1265103659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1689479602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403400019",
"telephone_number": "502-517-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 KEENE SOUTH ELKHORN RD",
"city": "KEENE",
"state": "KY",
"postal_code": "403399998",
"telephone_number": "502-517-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ALESSANDRI",
"first_name": "BROCK",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-14",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "255316",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "260286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.