Provider Demographics
NPI:1194559278
Name:ALEXANDER, JASON (E-LMSW)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:E-LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BELLAIR DR
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3502
Mailing Address - Country:US
Mailing Address - Phone:917-309-7780
Mailing Address - Fax:
Practice Address - Street 1:71 PARK AVE STE 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2507
Practice Address - Country:US
Practice Address - Phone:917-309-7780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP130536104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker