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Individual

ALEXANDRA ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7 HEMION RD, SUFFERN, NY 10901-4919
(732) 788-6472
Mailing address
7 HEMION RD, SUFFERN, NY 10901-4919

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06381400
NJ
1041C0700X
Clinical Social Worker
Primary
094868
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
094868
LICENSED CLINICAL SOCIAL WORKER
NY
01
34680
CREDENTIALED ALCOHOLISM AND SUBSTANCE ABUSE COUNSELOR TRAINEE
NY
01
44SC06188300
LICENSED CLINICAL SOCIAL WORKER
NJ
Enumeration date
12/17/2018
Last updated
03/20/2025
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