Individual provider Active NPI

Alexandra Lin Macy, LCSW

  • Clinical Social Worker
  • Shelburne, VT
National Provider Identifier
1699273565
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0131922 Issued in VT
Practice address
145 Pine Haven Shores Rd Ste 1000a
Shelburne, VT 05482-7812
Phone
(775) 553-8007
NPI assigned
Jan 25, 2018
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 089.0131922 VT Primary

Addresses

Primary practice location

145 Pine Haven Shores Rd Ste 1000a
Shelburne, VT 05482-7812

Mailing address

5 Corliss Ave
Greenwich, NY 12834-1003
Phone (518) 260-4763

Other practice location 1

7121 W Craig Rd Ste 113
Las Vegas, NV 89129-6023
Phone (775) 553-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260504005549 NY Practitioner - Clinical Social Worker 6305190018 Practice locations: Greenwich, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Main St
Greenwich, NY 12834-1396
Phone (775) 553-8007

5 Corliss Ave
Greenwich, NY 12834-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0131922VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling LLC CurrentSince Sep 1, 2018 Accepting new patients
Oasis Counseling Past Accepting new patients
I.C.a.N. Family Services LLC PastSince Aug 18, 2019 Accepting new patients

Locations

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

Organizations & group practices 3

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1699273565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CORLISS AVE",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128341003",
            "telephone_number": "518-260-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 1000A",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827812",
            "telephone_number": "775-553-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7121 W Craig Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891296023",
            "country_code": "US",
            "telephone_number": "775-553-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACY",
        "first_name": "ALEXANDRA",
        "middle_name": "LIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0131922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

Verify at the official NPI Registry.