ALEXANDRIA VICTORIA KETCHERSID LCSW
NPI 1881484921
Social Worker - Clinical in St Petersburg, FL

Q: What is Alexandria Ketchersid's NPI number?

The NPI number for Alexandria Ketchersid is 1881484921. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Q: What is Alexandria Ketchersid's specialty?

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

Active since May 12, 2025PECOS EnrolledAccepts Medicare Assignment

7901 4TH ST N STE 300, ST PETERSBURG, FL 33702(321) 515-4914 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, Jan 22, 2026, May 12, 2025 (3 updates tracked since 2025).

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About Alexandria Victoria Ketchersid Lcsw NPPES

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

ALEXANDRIA VICTORIA KETCHERSID LCSW (NPI 1881484921) is an individual clinical provider in St Petersburg, Florida, licensed in Florida (10283) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2023).

NPPES Registry Identity

NPI1881484921

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALEXANDRIA VICTORIA KETCHERSIDCredential: LCSW

Location Address7901 4TH ST N STE 300St Petersburg, FL 33702-4399

Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399 · (321) 515-4914

Phone(321) 515-4914

Sole ProprietorYes

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2023

Enumeration DateMay 12, 2025

Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1881484921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · 10283

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.

7901 4TH ST N STE 300, St Petersburg, FL 33702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandria Victoria Ketchersid Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466917406

PECOS Enrollment IDI20260721002812

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandria Ketchersid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Collective For Empowered Mental Wellness

93 mi

Clinical

2540 OHIO AVENUE
Altamonte Springs, FL 32714

Reassigned Medicare billing, Florida enrollment

NPI 1134054497 (321) 515-4914

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 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 $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 20

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

ELIZABETH RYCZEK LMHC

Counselor (Mental Health)