Individual
ALEXANDRA LUKENS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-7907
Mailing address
800 THIRD AVENUE, FRNT A #1058, NEW YORK, NY 10022-5317
(917) 654-7140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
109508
NY
1041C0700X
Clinical Social Worker
Primary
097039
NY
Other
Enumeration date
08/05/2020
Last updated
07/17/2024
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