Individual
ALEXA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 E 43RD ST FL 7-100, NEW YORK, NY 10017-4707
(646) 979-0506
Mailing address
211 E 43RD ST FL 7-100, NEW YORK, NY 10017-4707
(646) 979-0506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
086913
NY
1041C0700X
Clinical Social Worker
Primary
084742-1
NY
Other
Enumeration date
06/23/2013
Last updated
05/26/2021
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