Active NPI
Susan Elizabeth Alexe
- Clinical Social Worker
- Avon, CT
National Provider Identifier
1851877666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 010119
- Practice address
- 35 Tower LN
Avon, CT 06001-4237 - Phone
- (877) 577-3233
- NPI assigned
- Jul 15, 2018
- Last updated
- Jul 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 010119 | CT | Primary |
Addresses
Primary practice location
35 Tower LN
Avon, CT 06001-4237
Mailing address
4 Wyngate Dr
Avon, CT 06001-4106
Phone (941) 586-3542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1358 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 010119 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushford Center, Inc. | Clinical | Current | Accepting new patients |
Locations
680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
Interoperability endpoints
- susane.alexe@xdr.hhchealthdirect.org
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": "1531612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531612800000",
"number": "1851877666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WYNGATE DR",
"city": "AVON",
"state": "CT",
"postal_code": "060014106",
"telephone_number": "941-586-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 TOWER LN",
"city": "AVON",
"state": "CT",
"postal_code": "060014237",
"telephone_number": "877-577-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXE",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-15",
"last_updated": "2018-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "010119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.