Individual
ALEXANDRA ROBERTS
Active
Individual
ALEXANDRA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
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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