Individual provider Active NPI

Alexis Davis, MSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1780469155
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906014093 Issued in VA
Practice address
4275 Mazarin PL Apt 403
Fairfax, VA 22033-6406
Phone
(703) 853-9014
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 0906014093 VA Primary

Addresses

Primary practice location

4275 Mazarin PL Apt 403
Fairfax, VA 22033-6406

Mailing address

4225 Summit Manor CT Apt 106
Fairfax, VA 22033-5736
Phone (571) 662-1716

Other practice location 1

43676 Trade Center Pl Ste 135
Sterling, VA 20166-2124
Phone (571) 601-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260414000422 DC Practitioner - Clinical Social Worker 0749755106 Reassigns benefits to 1 organization
I20260415002616 VA Practitioner - Clinical Social Worker 0749755106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 200680
Pittsburgh, PA 15262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0906014093VAMDClinical Social Worker

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1780469155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 SUMMIT MANOR CT APT 106",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220335736",
            "telephone_number": "571-662-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 MAZARIN PL APT 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220336406",
            "telephone_number": "703-853-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43676 Trade Center Pl Ste 135",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201662124",
            "country_code": "US",
            "telephone_number": "571-601-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALEXIS",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906014093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.