MEDICARE: ALEXIS T SCHONROG LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW01848	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255486841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS T SCHONROG LICSW

Provider Business Mailing Address
First Line	:	45B BUCKEYE BROOK RD
Second Line	:
City	:	CHARLESTOWN
State	:	RI
Zip	:	02813-2702
Country	:	US
Telephone Number	:	401-741-8206
Fax Number	:	401-596-8802

Provider Business Practice Location Address
First Line	:	23 NORTH RD STE A34
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-8108
Country	:	US
Telephone Number	:	401-741-8206
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	03/22/2026

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