Individual provider Active NPI

Alexa Pena, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1871932871
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084742-1 Issued in NY
Practice address
211 E 43Rd St FL 7-100
New York, NY 10017-4707
Phone
(646) 979-0506
NPI assigned
Jun 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086913 NY
Clinical Social Worker 1041C0700X 084742-1 NY Primary

Addresses

Primary practice location

211 E 43Rd St FL 7-100
New York, NY 10017-4707

Mailing address

211 E 43Rd St FL 7-100
New York, NY 10017-4707
Phone (646) 979-0506

Other practice location 1

250 W 57th St Ste 501
New York, NY 10107-0500
Phone (646) 979-0506

Other practice location 2

413 E 144th St
Bronx, NY 10454-1004
Phone (646) 979-0506

Other practice location 3

71 W 23rd St Fl 14
New York, NY 10010-4102
Phone (646) 979-0506

Other practice location 4

271 Madison Ave Ste 1400
New York, NY 10016-1014
Phone (646) 979-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084742-1NYMDClinical Social Worker
086913NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1871932871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST FL 7-100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "646-979-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST FL 7-100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "646-979-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W 57th St Ste 501",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101070500",
            "country_code": "US",
            "telephone_number": "646-979-0506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 E 144th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104541004",
            "country_code": "US",
            "telephone_number": "646-979-0506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 W 23rd St Fl 14",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104102",
            "country_code": "US",
            "telephone_number": "646-979-0506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "271 Madison Ave Ste 1400",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161014",
            "country_code": "US",
            "telephone_number": "646-979-0506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "ALEXA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086913",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084742-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.