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ALEXIS KATHERINE GLIDEWELL LCSW
NPI 1912696428
Social Worker - Clinical in Santa Rosa, CA

Active since May 02, 2023Opted out of Medicare · through Dec 29, 2026
2418 HIDDEN VALLEY DR, SANTA ROSA, CA 95404(707) 377-0080 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexis Katherine Glidewell Lcsw NPPES

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

ALEXIS KATHERINE GLIDEWELL LCSW (NPI 1912696428) is an individual clinical provider in Santa Rosa, California, licensed in California (LCSW66532) and active in the NPI registry since May 2023. She has opted out of Medicare through December 29, 2026.

NPPES Registry Identity

NPI1912696428
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXIS KATHERINE GLIDEWELLCredential: LCSW
Location Address2418 HIDDEN VALLEY DRSanta Rosa, CA 95404-2345
Mailing Address576 B St Ste 1aSanta Rosa, CA 95401-5269 · (707) 377-0080
Phone(707) 377-0080
Sole ProprietorYes
Enumeration DateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1912696428 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 CA · LCSW66532
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.
2418 HIDDEN VALLEY DR, Santa Rosa, CA 95404
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Other Names 1

Former Name (1)Alexis Katherine Stone

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alexis Katherine Glidewell Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2024 through December 29, 2026.

Opt-Out Effective DateDecember 29, 2024
Opt-Out In Effect ThroughDecember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Glidewell's NPI number?

The NPI number for Alexis Glidewell is 1912696428. It was assigned to this individual provider in the NPPES registry on May 2, 2023. The provider is also known as Alexis Katherine Stone.

Where is Alexis Glidewell located?

Alexis Glidewell practices at 2418 Hidden Valley Dr, Santa Rosa, CA 95404. The listed phone number is (707) 377-0080.

What is Alexis Glidewell's specialty?

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

Is Alexis Glidewell enrolled in Medicare?

No. Alexis Glidewell has opted out of Medicare through December 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alexis Glidewell was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.