Alexa Nudelman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

21602 94TH PL S
Kent, WA 98031-1902

Phone

(512) 827-8685

NPI assigned

Oct 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nudelman Therapy & Consulting, PLLC

  • Clinical Social Worker
  • Kent, WA
  • NPI 1467154955
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1750988648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 107TH AVE NE APT 1706",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045939",
            "telephone_number": "512-827-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21602 94TH PL S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311902",
            "telephone_number": "512-827-8685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Banister Ln Ste 355",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047040",
            "country_code": "US",
            "telephone_number": "512-712-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUDELMAN",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65943",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Kidney Centers (NKC Panther Lake Kidney Center)
• Northwest Transport
• Misty Chieko Noster
• Nova Vitalis Bodywork LLC
• Nudelman Therapy & Consulting, PLLC
• Patricia Nuernberg
• Nurani, Mitchell, Kim, PC (Brightnow Dental - Kent)
• Fakia Nuri
• Calvin Nyaki
• Jane Nyakwana

• Clinical Social Worker in Kent, WA
• Providers in Kent, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.