Individual provider · NPI-1

Madelaine S Alejandro

Social Worker, Clinical · San Leandro, CA

NPI number1336663574

StatusActive

Last updated in NPPESJul 10, 2023

Details

NPI: 1336663574
Entity type: Individual (NPI-1)
Name: Madelaine S Alejandro
Sex: Female
Sole proprietor: No
Enumeration date: Jul 31, 2017
Certification date: Jul 10, 2023
Last updated: Jul 10, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	LCSW115999	CA	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

2045 Fairmont Dr
San Leandro, CA 94578-1088

Phone 510-667-7540

Mailing address

2837 Cashew St
Antioch, CA 94509-7348

Phone 925-812-7643

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