Individual
ALEXA RAE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87900078A
IN
104100000X
Social Worker
33011227A
IN
1041C0700X
Clinical Social Worker
Primary
34011499A
IN
Other
Enumeration date
12/04/2023
Last updated
10/29/2024
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