Alyssa A. Thaxton, LCSW
NPI 1043544356ActiveIndividual· Social Worker, Clinical· St Augustine, FL
Social Worker, Clinical (LCSW) with Optum Behavioral Care of North Carolina PC, practicing in St Augustine, Florida. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1043544356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2009 |
| Last updated in NPPES | Aug 1, 2025 |
| Certified by provider | Aug 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW14679 | FL |
| Social Worker, Clinical | 1041C0700X | CWS004742 | GA |
| Social Worker, Clinical | 1041C0700X | 9980-C | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA); Practitioner - Clinical Social Worker (FL); Practitioner - Clinical Social Worker (GA); Practitioner - Clinical Social Worker (KS); Practitioner - Clinical Social Worker (NC) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Optum Behavioral Care of North Carolina PCMount Airy, MD · 168 clinicians
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All 97 clinical social workers in St Augustine · All clinical social workers in Florida