Individual provider Active NPI

Christine G. Alexanian, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1922490903
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60298670 Issued in WA
Practice address
1101 S Westcliff PL
F-78
Spokane, WA 99224-2018
Phone
(208) 755-9474
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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 LW 60298670 WA Primary

Addresses

Primary practice location

1101 S Westcliff PL
F-78
Spokane, WA 99224-2018

Mailing address

951 W Emma Ave
Apt. 13
Coeur D Alene, ID 83814-2584
Phone (208) 755-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150630000075 WA Practitioner - Clinical Social Worker 7517279839 Practice locations: Spokane, WA

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)

1717 W 6TH Ave
Suite 4
Spokane, WA 99204-3532
Phone (208) 755-9474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW 60298670WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1922490903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 W EMMA AVE",
            "address_2": "APT. 13",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142584",
            "telephone_number": "208-755-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WESTCLIFF PL",
            "address_2": "F-78",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992242018",
            "telephone_number": "208-755-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANIAN",
        "first_name": "CHRISTINE",
        "middle_name": "G.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60298670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.