Individual provider Active NPI

Suzan Gwen Alexander, LCSW

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1992891964
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SW284 Issued in FL
Practice address
2555 Enterprise Rd
Ste 2
Clearwater, FL 33763
Phone
(727) 215-2375
Fax
(727) 796-2712
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X SW284 FL Primary

Addresses

Primary practice location

2555 Enterprise Rd
Ste 2
Clearwater, FL 33763

Mailing address

2555 Enterprise Rd
Ste 2
Clearwater, FL 33763
Phone (727) 215-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051214000594 FL Practitioner - Clinical Social Worker 0446271720 Practice locations: Clearwater, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2555 Enterprise Rd
Suite 2
Clearwater, FL 33763-1104
Phone (727) 215-2375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lynda Gurvitz PHD Inc Past Accepting new patients
Family Psychology Associates Inc PastSince May 15, 2000 Accepting new patients
Andrea Holmes, MPH, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1992891964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 ENTERPRISE RD",
            "address_2": "STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-215-2375",
            "fax_number": "727-796-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 ENTERPRISE RD",
            "address_2": "STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-215-2375",
            "fax_number": "727-796-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SUZAN",
        "middle_name": "GWEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "SW284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.