Individual provider Active NPI

Alexandra Mitchell

  • Social Worker
  • Manalapan, NJ
National Provider Identifier
1851903975
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06261000 Issued in NJ
Practice address
660 Tennent Rd Ste 209
Manalapan, NJ 07726-3163
Phone
(732) 351-0411
NPI assigned
Aug 19, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06261000 NJ Primary

Addresses

Primary practice location

660 Tennent Rd Ste 209
Manalapan, NJ 07726-3163

Mailing address

5 Gravelly Point Rd
Highlands, NJ 07732-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240127000071 NJ Practitioner - Clinical Social Worker 7214380153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

1088 Hwy 34
Matawan, NJ 07747-1948
Phone (732) 290-1700

22 Court St
Freehold, NJ 07728-1700
Phone (732) 780-7387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06261000NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Counseling Therapy Services, LLC CurrentSince Aug 23, 2020 Accepting new patients
CPC Integrated Health, Inc. Current Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince Dec 24, 2023 Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

660 Tennent Rd
Ste 209
Manalapan, NJ 07726
Phone (732) 351-0411

1088 State Route 34
Matawan, NJ 07747
Phone (732) 290-1700

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1851903975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRAVELLY POINT RD",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 TENNENT RD STE 209",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263163",
            "telephone_number": "732-351-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06261000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.