Individual
ALEXANDRIA ROSE CERAVOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1208 PARKVIEW DR, SOUTHFIELDS, NY 10975-2636
(646) 258-2075
Mailing address
309 SUMMIT AVE, JERSEY CITY, NJ 07306-2416
(646) 258-2075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095411
NY
1041C0700X
Clinical Social Worker
108390
NY
1041C0700X
Clinical Social Worker
44SC06391800
NJ
Other
Enumeration date
12/09/2020
Last updated
01/06/2025
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