Provider Demographics
NPI:1386410918
Name:CASNER, ALEXANDRA (LAC, LCADC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:CASNER
Suffix:
Gender:F
Credentials:LAC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 PARSIPPANY BLVD APT 379
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1866
Mailing Address - Country:US
Mailing Address - Phone:484-554-1153
Mailing Address - Fax:
Practice Address - Street 1:1100 PARSIPPANY BLVD APT 379
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1866
Practice Address - Country:US
Practice Address - Phone:484-554-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00659700101YM0800X
NJ37LC00367400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health