Provider Demographics
NPI:1730604547
Name:ROBERTSON, ALEXANDRA NICOLE (BA)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NICOLE
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:STERLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:731 SAINT JOSEPH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5002
Mailing Address - Country:US
Mailing Address - Phone:605-721-0200
Mailing Address - Fax:605-721-0165
Practice Address - Street 1:731 SAINT JOSEPH ST STE 205
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5002
Practice Address - Country:US
Practice Address - Phone:605-721-0200
Practice Address - Fax:605-721-0165
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
SD1041C0700X1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator