Alexandria Marie Baxter, LCSW
Individual provider Active NPI Clinical Social Worker · Bohemia, NY
NPI 1740743152 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1740743152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 094991 (NY)
- Practice address
- 4109 Sunrise Hwy
Bohemia, NY 11716-4600 - Phone
- (631) 503-1539
- NPI assigned
- Apr 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Talkspace Medical Services Ny PC
Practice addresses (Care Compare)
9 Railside Ave
FL 10
White Plains, NY 10605-3408
Phone (212) 284-7206
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250128001206 | NY | Practitioner - Clinical Social Worker | 9830628429 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094991 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Medical Services Ny PC | Current |
Accepting new patients | |
| Resilient Counseling LCSW PC | Clinical | Current |
Accepting new patients |
| Supportive Care Psychology of Ny PC | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Long Island Emdr LCSW P.C. | Clinical | Current |
Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
4109 Sunrise Hwy
Bohemia, NY 11716
Phone (631) 384-6831
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
170 Lake St
Liberty, NY 12754
Phone (845) 292-4200
7 Keeler Ave
Moravia, NY 13118
Phone (315) 497-0440
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103621 | NY | |
| Clinical Social Worker | 1041C0700X | 094991 | NY | Yes |
Addresses
Primary practice location
4109 Sunrise Hwy
Bohemia, NY 11716-4600
Mailing address
248 Bay Ave
Patchogue, NY 11772-4019
Phone (631) 432-9706
Other providers in Bohemia, NY
- Janice Aspras
- Jacquelin Bahret
- Samantha Preya Baiju
- Kelsey Barnett
- Bernadette Barto
- Be Well Adult, NP, PLLC
- Steven J Bender
- Barbara Benney
- Danielle Ashley Berger
- Matthew Berry
All providers in Bohemia, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.