Provider Demographics
NPI:1093993370
Name:ALEXANDER, MARVIN CAIN (PHD, LICSW)
Entity Type:Individual
Prefix:DR
First Name:MARVIN CAIN
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 MONROE ST NW # 736
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3452
Mailing Address - Country:US
Mailing Address - Phone:870-822-1906
Mailing Address - Fax:
Practice Address - Street 1:1627 K ST NW STE 400
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1711
Practice Address - Country:US
Practice Address - Phone:870-822-1906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2467-C1041C0700X
DC1041S0200X, 1041S0200X
DCLC500816141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool