Individual provider Active NPI

Alexandra D Radomsky, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1972125318
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50081745 Issued in DC
Practice address
106 Irving St NW Ste 215
Washington, DC 20010-2993
Phone
(202) 877-3679
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 LC50081745 DC Primary

Addresses

Primary practice location

106 Irving St NW Ste 215
Washington, DC 20010-2993

Mailing address

1021 N Garfield St Apt 720
Arlington, VA 22201-2579

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandra.d.radomsky@gunet.georgetown.edu MedStar - Georgetown Medical Center, Inc.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50081745DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972125318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N GARFIELD ST APT 720",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102993",
            "telephone_number": "202-877-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMSKY",
        "first_name": "ALEXANDRA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.d.radomsky@gunet.georgetown.edu",
            "affiliation": "Y",
            "endpointDescription": "Business Email Address",
            "affiliationName": "MedStar - Georgetown Medical Center, Inc.",
            "address_1": "106 Irving St NW Ste 215",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200102993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.