Individual provider Active NPI

Alexandria McDade I, MSW

  • Social Worker
  • Dover Foxcroft, ME
National Provider Identifier
1962878991
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1093 W Main St
Dover Foxcroft, ME 04426-3717
Phone
(207) 317-0354
NPI assigned
Aug 13, 2015
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 NU Primary
Clinical Social Worker 1041C0700X LC22282 ME

Addresses

Primary practice location

1093 W Main St
Dover Foxcroft, ME 04426-3717

Mailing address

384 Elliotsville Rd
Monson, ME 04464-6018
Phone (207) 317-0354

Other practice location 1

3 Drew St
Augusta, ME 04330-7206
Phone (207) 317-0354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20241105003035 ME Practitioner - Clinical Social Worker 4486188026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

30 Houlton St
Patten, ME 04765-3035
Phone (207) 528-2285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC22282MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center Current Accepting new patients
Katahdin Valley Health Center CurrentSince Nov 4, 2024 Accepting new patients
Katahdin Valley Health Center CurrentSince Nov 4, 2024 Accepting new patients

Locations

188 Summer St
Dover Foxcroft, ME 04426
Phone (207) 447-4975

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

529 S Patten Rd
Patten, ME 04765

Interoperability endpoints

  • Direct secure messaging: alexandria.mcdade.1@7377.direct.athenahealth.com

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1962878991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 ELLIOTSVILLE RD",
            "city": "MONSON",
            "state": "ME",
            "postal_code": "044646018",
            "telephone_number": "207-317-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263717",
            "telephone_number": "207-317-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Drew St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043307206",
            "country_code": "US",
            "telephone_number": "207-317-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "ALEXANDRIA",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC22282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.