Active NPI
Alexis Ap Munson, LCSW
- Clinical Social Worker
- North Haven, CT
National Provider Identifier
1780923979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008130
- Practice address
- 142 State St
North Haven, CT 06473-2207 - Phone
- (603) 767-0655
- NPI assigned
- Feb 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008130 | CT | Primary |
Addresses
Primary practice location
142 State St
North Haven, CT 06473-2207
Mailing address
171 Magee Dr
Hamden, CT 06514-1339
Phone (603) 767-0655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008043665 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130417000085 | CT | Practitioner - Clinical Social Worker | 6406092550 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
200 State St
North Haven, CT 06473-2207
Phone (603) 767-0655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008130 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexis a.P. Munson, LCSW, LLC | Current | Accepting new patients |
Locations
142 State St
North Haven, CT 06473
Phone (203) 239-6423
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": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1780923979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAGEE DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065141339",
"telephone_number": "603-767-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 STATE ST",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732207",
"telephone_number": "603-767-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON",
"first_name": "ALEXIS",
"middle_name": "AP",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008043665",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.