Provider Demographics
NPI:1609285212
Name:ALEXANDER, MARCUS ANTHONY (LCSW)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:ANTHONY
Last Name:ALEXANDER
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 1:5850 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4247
Mailing Address - Country:US
Mailing Address - Phone:225-201-0696
Mailing Address - Fax:225-201-1792
Practice Address - Street 1:5850 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4247
Practice Address - Country:US
Practice Address - Phone:225-201-0696
Practice Address - Fax:225-201-1792
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA127531041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool