NPIMap

Organization Active NPI

Alexandria Champagne, LCSW, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1841964533
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALEXANDRIA CHAMPAGNE, LCSW, PLLC
Practice address
1357 W Berwyn Ave Apt 1
Chicago, IL 60640-2275
Phone
(734) 664-1596
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Alexandria Chrystianna Champagne, LCSWNPI 1952812083
Title
Lead Therapist
Phone
(312) 298-9104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1357 W Berwyn Ave Apt 1
Chicago, IL 60640-2275

Mailing address

1357 W Berwyn Ave Apt 1
Chicago, IL 60640-2275
Phone (734) 664-1596

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1841964533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 W BERWYN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402275",
            "telephone_number": "734-664-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 W BERWYN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402275",
            "telephone_number": "734-664-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA CHAMPAGNE, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "CHRYSTIANNA",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "312-298-9104",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.