Provider Demographics
NPI:1487042628
Name:MADDEN, ALEXANDRA W (MSW)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:W
Last Name:MADDEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5007 LEEDS MANOR RD
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22643-1937
Mailing Address - Country:US
Mailing Address - Phone:508-901-1191
Mailing Address - Fax:
Practice Address - Street 1:4372 OLD TAVERN RD.
Practice Address - Street 2:
Practice Address - City:THE PLAINS
Practice Address - State:VA
Practice Address - Zip Code:20198
Practice Address - Country:US
Practice Address - Phone:540-227-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker