Alexa Gillian Brenner Deconne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C018271 Issued in NC

Practice address

3303 Healy Dr Ste B
Winston Salem, NC 27103-1569

Phone

(336) 448-4451

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Banyan Tree Counseling PLLC

  • Counselor
  • Winston Salem, NC
  • NPI 1720619968

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1750958187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 HEALY DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031569",
            "telephone_number": "336-448-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 HEALY DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031569",
            "telephone_number": "336-448-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECONNE",
        "first_name": "ALEXA",
        "middle_name": "GILLIAN BRENNER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea L Decker, PHARM D
• Darren C. Decker, O.D.
• Martha Lynne Decker, MD
• Paul J. Decker, MED., M.A., LPC
• Charles A Decomarmond, MD
• Brandi Melissa Decriscio, WHNP
• Dedicated Health
• Dedicated Health
• Dedicated Physicians Group of North Carolina PLLC
• Dedicated Physicians Group of North Carolina, PLLC

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.