Individual provider Active NPI

Alexandra Victoria Kirkland, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1780160572
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17741 Issued in FL
Practice address
1633 Poinciana Dr
Pembroke Pines, FL 33025-4587
Phone
(305) 573-3784
NPI assigned
Jul 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW17741 FL Primary

Addresses

Primary practice location

1633 Poinciana Dr
Pembroke Pines, FL 33025-4587

Mailing address

1633 Poinciana Dr
Pembroke Pines, FL 33025-4587
Phone (305) 573-3784

Other practice location 1

3180 Biscayne Blvd
Miami, FL 33137-4127
Phone (305) 573-3784 ext. 32145

Other identifiers 1

IdentifierTypeStateIssuer
SW17741OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandra.kirkland@westcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20221006001068 FL Practitioner - Clinical Social Worker 3971989427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17741FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1780160572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 POINCIANA DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254587",
            "telephone_number": "305-573-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 POINCIANA DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254587",
            "telephone_number": "305-573-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331374127",
            "country_code": "US",
            "telephone_number": "305-573-3784 x32145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "ALEXANDRA",
        "middle_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SW17741",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.kirkland@westcare.com",
            "affiliation": "N",
            "address_1": "1633 Poinciana Dr",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330254587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.