Individual provider Active NPI

Alexus Lomack

  • Social Worker
  • Alexandria, VA
National Provider Identifier
1720870579
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
200003093 Issued in DC
Practice address
2803 Poag St Apt 4053
Alexandria, VA 22303-2477
Phone
(585) 743-8277
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 113410 NY
Social Worker 104100000X 200003093 DC Primary

Addresses

Primary practice location

2803 Poag St Apt 4053
Alexandria, VA 22303-2477

Mailing address

2803 Poag St Apt 4053
Alexandria, VA 22303-2477
Phone (585) 743-8277

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

LicenseStateTypeSpecialty
200003093DCMDSocial Worker
113410NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1720870579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 POAG ST APT 4053",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032477",
            "telephone_number": "585-743-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 POAG ST APT 4053",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032477",
            "telephone_number": "585-743-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMACK",
        "first_name": "ALEXUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113410",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "200003093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.