Individual provider · NPI-1

Amanda Alexander, MSW, LCSWA

Social Worker, Clinical · Cary, NC

NPI number1922537828
StatusActive
Last updated in NPPESJun 8, 2020

Details

NPI
1922537828
Entity type
Individual (NPI-1)
Name
Amanda Alexander
Credential
MSW, LCSWA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 6, 2017
Certification date
Jun 8, 2020
Last updated
Jun 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalC012414NCYes
1041C0700X Social Worker, ClinicalP011534NC

Practice location

501 Keisler Dr Ste 104
Cary, NC 27518-9322

Phone 919-617-9656

Mailing address

1212 Eastham Dr
Apex, NC 27502-8548

Other practice locations

3209 Yorktown Ave
Durham, NC 27713-3454

Phone 919-896-7536

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