Alexandra Lauren Derosa, LMSW
Social Worker in Sacramento, CA. Individual provider (NPI-1).
NPI number1932717543
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1932717543
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Lauren Derosa
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 97981 | CA | Yes |
| 104100000X | Social Worker | 106091 | NY | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3810 Rosin Ct Ste 180Sacramento, CA 95834-1656
Phone 916-283-8280
Mailing address
3810 Rosin Ct Ste 180Sacramento, CA 95834-1656
Phone 916-283-8280
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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