Provider Demographics
NPI:1285906230
Name:SAVIANO, ALEXANDRA (LCSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:SAVIANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 BEVERLEY RD
Mailing Address - Street 2:APT. 5R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3153
Mailing Address - Country:US
Mailing Address - Phone:718-344-1106
Mailing Address - Fax:
Practice Address - Street 1:415 BEVERLEY RD
Practice Address - Street 2:APT. 5R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3153
Practice Address - Country:US
Practice Address - Phone:718-344-1106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076505-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical