Provider Demographics
NPI:1053078022
Name:OREM, ALEXANDRA MICHELE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:MICHELE
Last Name:OREM
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2074
Mailing Address - Country:US
Mailing Address - Phone:443-392-8374
Mailing Address - Fax:
Practice Address - Street 1:811 BLOSSOM DR
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2074
Practice Address - Country:US
Practice Address - Phone:443-392-8374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-24
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health