Individual provider Active NPI

Alexandra B Richards, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1710466099
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017018454 Issued in MO
Practice address
222 S Meramec Ave Ste 202-1081
Saint Louis, MO 63105-1805
Phone
(314) 704-0753
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2017018454 MO
Clinical Social Worker 1041C0700X 2017018454 MO Primary

Addresses

Primary practice location

222 S Meramec Ave Ste 202-1081
Saint Louis, MO 63105-1805

Mailing address

222 S Meramec Ave Ste 202-1081
Saint Louis, MO 63105-1805
Phone (314) 704-0753

Other practice location 1

2388 Schuetz Rd
Suite A10
Saint Louis, MO 63146-3401
Phone (314) 898-0100

Other names 1

  • Alexandra B Gould Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017018454MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Inc PastSince Jul 15, 2019 Accepting new patients

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1710466099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MERAMEC AVE STE 202-1081",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051805",
            "telephone_number": "314-704-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MERAMEC AVE STE 202-1081",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051805",
            "telephone_number": "314-704-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2388 Schuetz Rd",
            "address_2": "Suite A10",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631463401",
            "country_code": "US",
            "telephone_number": "314-898-0100",
            "fax_number": "314-993-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ALEXANDRA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2017018454",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017018454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "GOULD",
            "middle_name": "B",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.