Individual provider Active NPI

Alexa Gauer, LCSW-PIP, RPT

  • Clinical Social Worker
  • Yankton, SD
National Provider Identifier
1821565896
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4888 Issued in SD
Practice address
311 Cedar St
Yankton, SD 57078-4335
Phone
(605) 689-0457
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3365 SD
Clinical Social Worker 1041C0700X 4888 SD Primary

Addresses

Primary practice location

311 Cedar St
Yankton, SD 57078-4335

Mailing address

311 Cedar St
Yankton, SD 57078-4335
Phone (605) 689-0457

Other practice location 1

311 Cedar St
Yankton, SD 57078-4335
Phone (605) 689-0457

Other names 1

  • Alexa Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20190805002865 SD Practitioner - Clinical Social Worker 8325375918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4888SDMDClinical Social Worker
3365SDMDPediatrics Physician

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1821565896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CEDAR ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784335",
            "telephone_number": "605-689-0457",
            "fax_number": "605-689-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CEDAR ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784335",
            "telephone_number": "605-689-0457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570784335",
            "country_code": "US",
            "telephone_number": "605-689-0457",
            "fax_number": "605-689-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUER",
        "first_name": "ALEXA",
        "credential": "LCSW-PIP, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "3365",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.