Individual provider Active NPI

Sheri Suzanne Alexandar, LSCW

  • Clinical Social Worker
  • Fallon, NV
National Provider Identifier
1912097932
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
773 Issued in AK
Practice address
1490 Grimes St
Fallon, NV 89406-3103
Phone
(775) 423-1412
NPI assigned
Oct 13, 2006
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 773 AK Primary

Addresses

Primary practice location

1490 Grimes St
Fallon, NV 89406-3103

Mailing address

5461 Desert Peach Dr
Sparks, NV 89436-0862
Phone (775) 544-7132

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
I20120522001026 NJ Practitioner - Clinical Social Worker 9739342106 Practice locations: Atlantic City, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
773AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Churchill Council on Alcohol & Other Drugs PastSince Mar 9, 2021 Accepting new patients
Churchill Council on Alcohol & Other Drugs Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sheriblack@tdh.allscriptsdirect.net

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1912097932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 DESERT PEACH DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360862",
            "telephone_number": "775-544-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 GRIMES ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063103",
            "telephone_number": "775-423-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDAR",
        "first_name": "SHERI",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

Verify at the official NPI Registry.