Active NPI
Alexa Roddy
- Social Worker
- Dayton, OH
National Provider Identifier
1710658794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106134
- Practice address
- 1020 Woodman Dr Ste 330
Dayton, OH 45432-1410 - Phone
- (937) 253-0606
- NPI assigned
- Sep 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Social Worker | 104100000X | S.2106134 | OH | Primary |
Addresses
Primary practice location
1020 Woodman Dr Ste 330
Dayton, OH 45432-1410
Mailing address
1020 Woodman Dr Ste 330
Dayton, OH 45432-1410
Phone (937) 253-0606
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 |
|---|---|---|---|
| S.2106134 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1710658794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 WOODMAN DR STE 330",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321410",
"telephone_number": "937-253-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 WOODMAN DR STE 330",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321410",
"telephone_number": "937-253-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODDY",
"first_name": "ALEXA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.