Individual provider Active NPI

Allexendra I St. Clair

  • Social Worker
  • Missoula, MT
National Provider Identifier
1831640952
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C1021925-10400509 Issued in MT
Practice address
2825 Santa Fe CT
Missoula, MT 59808-1755
Phone
(406) 546-2301
Fax
(406) 630-4002
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 13497 MT
Social Worker 104100000X C1021925-10400509 MT Primary

Addresses

Primary practice location

2825 Santa Fe CT
Missoula, MT 59808-1755

Mailing address

2825 Santa Fe CT
Missoula, MT 59808-1755
Phone (406) 546-2301

Other practice location 1

4220 Hermione Ln
Missoula, MT 59808-5255
Phone (406) 370-4473

Other identifiers 1

IdentifierTypeStateIssuer
7220135MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13497MTMDSocial Worker
C1021925-10400509MTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Behavioral Health LLC CurrentSince Nov 9, 2021 Accepting new patients
Katherine Kosma Schwartz LCSW Lac LLC PastSince Jun 1, 2021 Accepting new patients

Locations

2809 Great Northern Loop
Ste 300
Missoula, MT 59808
Phone (360) 926-6308

2825 Santa Fe Ct
Missoula, MT 59808
Phone (406) 546-2301

Organizations & group practices 2

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1831640952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SANTA FE CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081755",
            "telephone_number": "406-546-2301",
            "fax_number": "406-630-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SANTA FE CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081755",
            "telephone_number": "406-546-2301",
            "fax_number": "406-630-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Hermione Ln",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598085255",
            "country_code": "US",
            "telephone_number": "406-370-4473",
            "fax_number": "406-630-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "ALLEXENDRA",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "13497",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "C1021925-10400509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7220135",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.