Provider Demographics
NPI:1043993843
Name:FRIEDMAN, ALEXANDRA (LSWAIC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HARVARD AVE E APT 205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5745
Mailing Address - Country:US
Mailing Address - Phone:480-389-7273
Mailing Address - Fax:
Practice Address - Street 1:12507 NE BEL RED RD STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2500
Practice Address - Country:US
Practice Address - Phone:425-371-7825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC614411791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical