Individual provider Active NPI

Alisa McGee, LCSW

  • Clinical Social Worker
  • Palm Bay, FL
National Provider Identifier
1851981666
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17817 Issued in FL
Practice address
1501 Robert J Conlan Blvd NE Ste 120
Palm Bay, FL 32905-3560
Phone
(321) 210-3681
NPI assigned
Jan 25, 2021
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW17817 FL Primary
Mental Health Counselor 101YM0800X SW17817 FL

Addresses

Primary practice location

1501 Robert J Conlan Blvd NE Ste 120
Palm Bay, FL 32905-3560

Mailing address

1501 Robert J Conlan Blvd NE Ste 120
Palm Bay, FL 32905-3560
Phone (321) 210-3681

Other practice location 1

3052 Chica Cir
West Melbourne, FL 32904-6806
Phone (321) 210-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210408002494 FL Practitioner - Clinical Social Worker 8527476639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

478 N Babcock St
Suite 113
Melbourne, FL 32935-6923
Phone (321) 210-3681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17817FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Therapeutics LLC Clinical CurrentSince Oct 15, 2021 Accepting new patients
Blue Moon Senior Counseling Clinical CurrentSince Mar 9, 2021 Accepting new patients
Transformations Therapeutic Services Clinical CurrentSince Sep 15, 2021 Accepting new patients

Locations

478 N Babcock St
Ste 113
Melbourne, FL 32935
Phone (321) 210-3681

1501 Robert J Conlan Blvd NE
Ste 120
Palm Bay, FL 32905
Phone (321) 210-3681

1501 Robert J Conlan Blvd NE
Ste 200
Palm Bay, FL 32905
Phone (321) 693-8671

2630 SE Willoughby Blvd
#2B
Stuart, FL 34994
Phone (772) 486-4417

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1851981666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 120",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053560",
            "telephone_number": "321-210-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 120",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053560",
            "telephone_number": "321-210-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3052 Chica Cir",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329046806",
            "country_code": "US",
            "telephone_number": "321-210-3681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "ALISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17817",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW17817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.