Alexandra Leigh Grundy, LCSW
Social Worker, Clinical in Westport, CT. Individual provider (NPI-1).
NPI number1245094366
StatusActive
Last updated in NPPESFeb 8, 2024
Details
- NPI
- 1245094366
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Leigh Grundy
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2024
- Certification date
- Feb 8, 2024
- Last updated
- Feb 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 13645 | CT | Yes |
Practice location
840 Post Rd EWestport, CT 06880-5236
Phone 203-828-0868
Mailing address
1201 Washington Blvd Apt 425Stamford, CT 06902-8812
Phone 203-962-5783
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