Provider Demographics
NPI:1073016390
Name:ALEXANDER, VICTORIA (LISW-S)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 N HIGH ST STE 300H
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3200
Mailing Address - Country:US
Mailing Address - Phone:614-984-4394
Mailing Address - Fax:614-319-5618
Practice Address - Street 1:4041 N HIGH ST STE 300H
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3200
Practice Address - Country:US
Practice Address - Phone:614-984-4394
Practice Address - Fax:614-319-5618
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0413879Medicaid
OH1502360Medicaid
OH0268947Medicaid