Individual provider Active NPI

Alexis Kremp, MSW, LICSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1841908977
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125744 Issued in MA
Practice address
200 Ivy St
Brookline, MA 02446-3907
Phone
(617) 732-0233
NPI assigned
Nov 8, 2022
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 125744 MA Primary

Addresses

Primary practice location

200 Ivy St
Brookline, MA 02446-3907

Mailing address

72 Euston Rd Apt 105
Brighton, MA 02135-4137
Phone (215) 740-1236

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akremp@ivstreetschool.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241209003413 PA Practitioner - Clinical Social Worker 6103352513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyland Counseling Center, Inc.Group PAC ID 5698775146, 23 clinicians

Practice addresses (Care Compare)

1210 Old York Rd
Suite 202
Warminster, PA 18974-2032
Phone (215) 444-9204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125744MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyland Counseling Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

4 Village Sq
Ste 12
New Hope, PA 18938
Phone (215) 444-9204

1210 Old York Rd
Ste 202
Warminster, PA 18974
Phone (215) 444-9204

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, 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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1841908977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 EUSTON RD APT 105",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354137",
            "telephone_number": "215-740-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 IVY ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463907",
            "telephone_number": "617-732-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMP",
        "first_name": "ALEXIS",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akremp@ivstreetschool.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "200 Ivy St",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024463907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.