Individual provider Active NPI

Alexandra Winn-Marvin, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1770232522
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259469 Issued in KY
Practice address
500 Laketower Dr Unit 92
Lexington, KY 40502-2677
Phone
(859) 327-7887
NPI assigned
Mar 21, 2022
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 255263 KY
Clinical Social Worker 1041C0700X 259469 KY Primary

Addresses

Primary practice location

500 Laketower Dr Unit 92
Lexington, KY 40502-2677

Mailing address

500 Laketower Dr Unit 92
Lexington, KY 40502-2677
Phone (859) 334-1809

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
259469KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Winn-Marvin, LCSW LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Shepherd's House Inc. PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1770232522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LAKETOWER DR UNIT 92",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022677",
            "telephone_number": "859-334-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAKETOWER DR UNIT 92",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022677",
            "telephone_number": "859-327-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN-MARVIN",
        "first_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "255263",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.