Individual provider Active NPI

Alexandra Frerotte

  • Clinical Social Worker
  • Arlington, VA
National Provider Identifier
1801164025
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001756 Issued in VA
Practice address
2305 N Kensington St
23 05 North Kensington Street
Arlington, VA 22205-3213
Phone
(703) 532-0964
NPI assigned
Dec 2, 2011
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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 0904001756 VA Primary

Addresses

Primary practice location

2305 N Kensington St
23 05 North Kensington Street
Arlington, VA 22205-3213

Mailing address

2305 N Kensington St
23 05 North Kensington Street
Arlington, VA 22205-3213
Phone (703) 532-0964

Other names 1

  • Alexandra Olson 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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 4, 2024 through Dec 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001756VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1801164025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 N KENSINGTON ST",
            "address_2": "23 05 NORTH KENSINGTON STREET",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053213",
            "telephone_number": "703-532-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 N KENSINGTON ST",
            "address_2": "23 05 NORTH KENSINGTON STREET",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053213",
            "telephone_number": "703-532-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREROTTE",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "OLSON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.