Provider Demographics
NPI:1902604192
Name:SCHWARTZ, ALEXANDRA (MSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 ENCLAVE AVE
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-8071
Mailing Address - Country:US
Mailing Address - Phone:561-633-0451
Mailing Address - Fax:
Practice Address - Street 1:101 N WOODLAND BLVD STE A306
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-4240
Practice Address - Country:US
Practice Address - Phone:386-564-3984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health