Provider Demographics
NPI:1992524490
Name:MCARTHUR-KEWENE, ALEXANDRA CAROLINE
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CAROLINE
Last Name:MCARTHUR-KEWENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:CAROLINE
Other - Last Name:KEWENE-HITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 DONGAN PL APT 308
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1533
Mailing Address - Country:US
Mailing Address - Phone:347-583-3820
Mailing Address - Fax:
Practice Address - Street 1:30 STANDISH RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-7069
Practice Address - Country:US
Practice Address - Phone:781-999-4975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical