Individual provider Active NPI

Alexandra Krosner, LGSW

  • Social Worker
  • Danvers, MA
National Provider Identifier
1992198717
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19140 Issued in MD
Practice address
175 Andover St
#203
Danvers, MA 01923-5311
Phone
(301) 461-2705
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19140 MD Primary

Addresses

Primary practice location

175 Andover St
#203
Danvers, MA 01923-5311

Mailing address

505 Stearns Hill Rd
Waltham, MA 02451-3322
Phone (301) 461-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180220002675 MA Practitioner - Clinical Social Worker 8527329234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Lowell Psychiatric Associates, LLCGroup PAC ID 9335044189, 6 clinicians

Practice addresses (Care Compare)

73 Princeton St
Suite 203
North Chelmsford, MA 01863-1559
Phone (978) 256-6579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19140MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lowell Psychiatric Associates, LLC CurrentSince Jan 6, 2018 Accepting new patients

Locations

73 Princeton St
Ste 203
North Chelmsford, MA 01863
Phone (978) 256-6579

Organizations & group practices 1

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1992198717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 STEARNS HILL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024513322",
            "telephone_number": "301-461-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ANDOVER ST",
            "address_2": "#203",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019235311",
            "telephone_number": "301-461-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSNER",
        "first_name": "ALEXANDRA",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.