Provider Demographics
NPI:1609054915
Name:NOGUERA, ALEXEI (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEXEI
Middle Name:
Last Name:NOGUERA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2209
Mailing Address - Country:US
Mailing Address - Phone:786-443-5259
Mailing Address - Fax:
Practice Address - Street 1:8231 NW 107TH CT BLDG 9-7
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-5209
Practice Address - Country:US
Practice Address - Phone:786-443-5259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 89071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical