Provider Demographics
NPI:1740793884
Name:SHERAW, ALEXANDRA MARIE (LGSW)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:MARIE
Last Name:SHERAW
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 ELLINGTON BLVD APT 275
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4566
Mailing Address - Country:US
Mailing Address - Phone:301-806-7301
Mailing Address - Fax:
Practice Address - Street 1:124 ELLINGTON BLVD APT 275
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-4566
Practice Address - Country:US
Practice Address - Phone:301-806-7301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD230301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical