Individual provider Active NPI

Cricket Alexander, LMSW

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1780138818
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106235 Issued in MI
Practice address
800 E Milham Ave Ste 200
Portage, MI 49002-1492
Phone
(269) 249-7179
Fax
(269) 459-7149
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099997 MI
Clinical Social Worker 1041C0700X 6801106235 MI Primary

Addresses

Primary practice location

800 E Milham Ave Ste 200
Portage, MI 49002-1492

Mailing address

800 E Milham Ave Ste 200
Portage, MI 49002-1492
Phone (269) 249-7179

Other names 1

  • Cricket Leigh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099997MIMDClinical Social Worker
6801106235MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Counseling Services Clinical CurrentSince Dec 1, 2022 Accepting new patients

Locations

246 E Kilgore Rd
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Ste 200
Portage, MI 49002
Phone (269) 249-7179

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1780138818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MILHAM AVE STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021492",
            "telephone_number": "269-249-7179",
            "fax_number": "269-459-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MILHAM AVE STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021492",
            "telephone_number": "269-249-7179",
            "fax_number": "269-459-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CRICKET",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099997",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRICKET",
            "last_name": "LEIGH",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.