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Individual

ALEXA TAVERAS-GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
28 DEBEVOISE ST STE 5, BROOKLYN, NY 11206-4194
(718) 963-4430
(646) 398-2794
Mailing address
145 W 15TH ST FL 2, NEW YORK, NY 10011-6701
(212) 924-6320
(646) 306-0513

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
111020
NY
1041C0700X
Clinical Social Worker
Primary
097361
NY
1041S0200X
School Social Worker

Other

Enumeration date
06/16/2020
Last updated
08/06/2025
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