Individual provider Active NPI

Alexa Martin Smith-Osborne, LCSW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1841451457
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50107 Issued in TX
Practice address
803 Stadium Dr Ste 101
Arlington, TX 76011-6246
Phone
(817) 459-2003
Fax
(817) 459-1898
NPI assigned
Jun 17, 2008
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3276 OK
Clinical Social Worker 1041C0700X LC19526 ME
Clinical Social Worker 1041C0700X DP00945879 WV
Clinical Social Worker 1041C0700X 50107 TX Primary

Addresses

Primary practice location

803 Stadium Dr Ste 101
Arlington, TX 76011-6246

Mailing address

211 S Cooper St
Box 19129
Arlington, TX 76019-0001
Phone (817) 272-0452

Other identifiers 1

IdentifierTypeStateIssuer
Q698OtherMDBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20170913003612 OK Practitioner - Clinical Social Worker 1658644638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Medical Services, LLCGroup PAC ID 6204730856, 25 clinicians

Practice addresses (Care Compare)

508 Man O War CT
Edmond, OK 73025-9512
Phone (405) 623-0509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50107TXMDClinical Social Worker
DP00945879WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, L.L.C. Clinical CurrentSince Aug 1, 2017 Accepting new patients
Community Pathways Unlimited Inc CurrentSince Jan 11, 2023 Accepting new patients
Bethany, Yates & Assocaites Clinical PastSince Nov 20, 2022 Accepting new patients

Locations

448 36th Ave NW
Ste 101
Norman, OK 73072
Phone (405) 623-1624

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1841451457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S COOPER ST",
            "address_2": "BOX 19129",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760190001",
            "telephone_number": "817-272-0452",
            "fax_number": "817-272-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 STADIUM DR STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116246",
            "telephone_number": "817-459-2003",
            "fax_number": "817-459-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-OSBORNE",
        "first_name": "ALEXA",
        "middle_name": "MARTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3276",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19526",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945879",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Q698",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.