Individual provider Active NPI

Alexandra Cecilia White Viser, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1710486154
Registry record updated Feb 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017003782 Issued in MO
Practice address
1902 Arsenal St Ste 240
Saint Louis, MO 63118-2503
Phone
(314) 252-0174
NPI assigned
Feb 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2018

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 2017003782 MO Primary

Addresses

Primary practice location

1902 Arsenal St Ste 240
Saint Louis, MO 63118-2503

Mailing address

18 N Iola Dr
Saint Louis, MO 63119-2226

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
2017003782MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1710486154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N IOLA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ARSENAL ST STE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182503",
            "telephone_number": "314-252-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISER",
        "first_name": "ALEXANDRA",
        "middle_name": "CECILIA WHITE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017003782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 2018; 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.