Provider Demographics
NPI:1710751003
Name:MCLEOD, ALEXANDER JOSEPH (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:JOSEPH
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:MSW, LICSW
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Mailing Address - Street 1:800 PRAIRIE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7328
Mailing Address - Country:US
Mailing Address - Phone:952-234-9210
Mailing Address - Fax:952-234-3933
Practice Address - Street 1:800 PRAIRIE CENTER DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7328
Practice Address - Country:US
Practice Address - Phone:952-234-9210
Practice Address - Fax:952-234-3933
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN301341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical