Active NPI
Alexa Koch-Skie, LSW
- Social Worker
- Evansville, IN
National Provider Identifier
1710608443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33010955A
- Practice address
- 1222 Professional Blvd Ste a
Evansville, IN 47714-8002 - Phone
- (812) 848-2322
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33010955A | IN | Primary |
Addresses
Primary practice location
1222 Professional Blvd Ste a
Evansville, IN 47714-8002
Mailing address
5716 Quaker Bridge Dr
Evansville, IN 47711-7768
Phone (812) 686-7099
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Laptop | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33010955A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Behavioral Texas PLLC | Past | 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.
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- Arlington, TX
- NPI 1851211429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1710608443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 QUAKER BRIDGE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477117768",
"telephone_number": "812-686-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 PROFESSIONAL BLVD STE A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148002",
"telephone_number": "812-848-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH-SKIE",
"first_name": "ALEXA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "IN",
"license": "33010955A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Laptop",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1222 Professional Blvd Ste A",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477148002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.