Alexis Marie Frantzen-Crawford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023203 Issued in IL

Practice address

121 N Main St Ste 201
Bloomington, IL 61701-7619

Phone

(309) 204-6260

NPI assigned

Apr 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alexis Frantzen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 11, 2025 through Feb 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Revival Road Therapy PLLC

  • Clinical Social Worker
  • Bloomington, IL
  • NPI 1518716992
  NPD Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1871349191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST STE 201",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017619",
            "telephone_number": "309-204-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST STE 201",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017619",
            "telephone_number": "309-204-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANTZEN-CRAWFORD",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "FRANTZEN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andre Francois, M.D.
• Sara Aline Francois, PT
• Frank W. Foehr DDS, LTD
• Fransen and Kulb Urology, LTD
• Alex W Frantz, PA
• Kellie Franzen, FNP-BC
• Abby Grace Freckleton, APRN
• Faye Freeman-Smith
• Kaylene Renee Freitag, APRN
• Fresenius Medical Care Normal, LLC (Fresenius Medical Care McLean County)

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.