ALEXANDRIA WIEDENBAUM LCSW
NPI 1306547609
Social Worker - Clinical in Albany, NY

Q: What is Alexandria Wiedenbaum's NPI number?

The NPI number for Alexandria Wiedenbaum is 1306547609. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Q: What is Alexandria Wiedenbaum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 14, 2023PECOS Enrolled

200 GREAT OAKS BLVD STE 215, ALBANY, NY 12203(518) 218-1188(518) 218-1988 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Mar 14, 2023 (2 updates tracked since 2023).

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About Alexandria Wiedenbaum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRIA WIEDENBAUM LCSW (NPI 1306547609) is an individual clinical provider in Albany, New York, licensed in New York (101665) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bayside, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306547609

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALEXANDRIA WIEDENBAUMCredential: LCSW

Location Address200 GREAT OAKS BLVD STE 215Albany, NY 12203-5969

Mailing Address260 Washington Avenue Ext Ste 101Albany, NY 12203-6326 · (518) 218-1188

Phone(518) 218-1188

Fax(518) 218-1988

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 14, 2023

Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1306547609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 101665

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 115494 (NY)

200 GREAT OAKS BLVD STE 215, Albany, NY 12203

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Secondary Practice Location 1

Location 13635 Bell Blvd Ste 203Bayside, NY 11361-2097 · Phone (718) 504-9256 ext. 49256

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Wiedenbaum Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709351802

PECOS Enrollment IDI20260407000625

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.87 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLI LYNN VOORIS

Social Worker (Clinical)