Individual provider Active NPI

Alexandria Wayne

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1922738137
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW88281 Issued in CA
Practice address
15720 Ventura Blvd Ste 420
Encino, CA 91436-4711
Phone
(818) 927-0478
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 LCSW88281 CA Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 420
Encino, CA 91436-4711

Mailing address

15720 Ventura Blvd Ste 420
Encino, CA 91436-4711
Phone (818) 927-0478

Other practice location 1

851 Bowsprit Rd
Chula Vista, CA 91914-4529
Phone (213) 915-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251003000380 CA Practitioner - Clinical Social Worker 6709382211

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15720 Ventura Blvd
Encino, CA 91436-2955

19136 Kinzie St
Northridge, CA 91324-1726

PO Box
Orange, CA 92856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW88281CAMDClinical Social Worker
88281CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance and Beyond Licensed Clinical Social Worker Professional Corpor Clinical Current Accepting new patients
Hope Opportunity & Mental Empowerment CurrentSince Mar 3, 2024 Accepting new patients

Locations

15720 Ventura Blvd
Ste 420
Encino, CA 91436
Phone (818) 345-0107

Organizations & group practices 2

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1922738137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 420",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364711",
            "telephone_number": "818-927-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 420",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364711",
            "telephone_number": "818-927-0478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Bowsprit Rd",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919144529",
            "country_code": "US",
            "telephone_number": "213-915-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW88281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.