Individual
MS. ALEXANDRA SYDNEY MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Mailing address
5 PINE WEST PLZ, SUITE 508, ALBANY, NY 12205-5593
(518) 858-2330
(518) 452-4233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R057918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
057918R
PROFESSIONAL LICENSE NUMBER
NY
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICARE PIN
NY
Enumeration date
02/15/2007
Last updated
05/21/2019
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