Provider Demographics
NPI:1588793012
Name:ALEXANDAR, ISKANDAR RA (LCSW (NV), LCSW (AK))
Entity type:Individual
Prefix:
First Name:ISKANDAR
Middle Name:RA
Last Name:ALEXANDAR
Suffix:
Gender:M
Credentials:LCSW (NV), LCSW (AK)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5461 DESERT PEACH DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436
Mailing Address - Country:US
Mailing Address - Phone:775-376-8581
Mailing Address - Fax:
Practice Address - Street 1:5461 DESERT PEACH DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-0862
Practice Address - Country:US
Practice Address - Phone:775-376-8581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV#5778-C1041C0700X
AK#9921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical