Provider Demographics
NPI:1518239987
Name:LEPSETZ, ALEXANDRA LEMPERT (LMSW)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LEMPERT
Last Name:LEPSETZ
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:PO BOX 210550
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48321-0550
Mailing Address - Country:US
Mailing Address - Phone:419-704-3517
Mailing Address - Fax:
Practice Address - Street 1:89 W SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1611
Practice Address - Country:US
Practice Address - Phone:419-704-3517
Practice Address - Fax:248-605-3525
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010918581041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical