Provider Demographics
NPI:1992443006
Name:PADILLA, ALEXANDER JR (CSW)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:PADILLA
Suffix:JR
Gender:
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22359
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-2359
Mailing Address - Country:US
Mailing Address - Phone:973-391-3990
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 22359
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101-2359
Practice Address - Country:US
Practice Address - Phone:973-391-3990
Practice Address - Fax:973-972-4450
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SW05376300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker