Individual
ALEXANDRIA WIEDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 GREAT OAKS BLVD STE 215, ALBANY, NY 12203-5969
(518) 218-1188
(518) 218-1988
Mailing address
260 WASHINGTON AVENUE EXT STE 101, ALBANY, NY 12203-6326
(518) 218-1188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
115494
NY
1041C0700X
Clinical Social Worker
Primary
101665
NY
Other
Enumeration date
03/14/2023
Last updated
12/08/2025
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