Provider Demographics
NPI:1710011135
Name:ALEXANDER, GIGI MONIQUE (MBA, MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:GIGI
Middle Name:MONIQUE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MBA, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6654 VILLA SONRISA DR
Mailing Address - Street 2:414
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4015
Mailing Address - Country:US
Mailing Address - Phone:941-504-4522
Mailing Address - Fax:
Practice Address - Street 1:2793 E COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8215
Practice Address - Country:US
Practice Address - Phone:941-504-4522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL70601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ034ZMedicare ID - Type UnspecifiedMEDICARE EDI