Individual provider Active NPI

Alexandria Robison, LICSW

  • Clinical Social Worker
  • Eagan, MN
National Provider Identifier
1699558676
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29258 Issued in MN
Practice address
3464 Washington Dr Ste 115
Eagan, MN 55122-1438
Phone
(612) 428-7330
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 29258 MN Primary

Addresses

Primary practice location

3464 Washington Dr Ste 115
Eagan, MN 55122-1438

Mailing address

3464 Washington Dr Ste 115
Eagan, MN 55122-1438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20241025000395 MN Practitioner - Clinical Social Worker 6507399847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29258MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Psychotherapy LLC CurrentSince Aug 14, 2024 Accepting new patients

Locations

3464 Washington Dr
Ste 115
Saint Paul, MN 55122
Phone (651) 348-8551

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1699558676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 WASHINGTON DR STE 115",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 WASHINGTON DR STE 115",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221438",
            "telephone_number": "612-428-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "ALEXANDRIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.