Provider Demographics
NPI:1851459853
Name:SALDAMANDO, ALEXI A (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALEXI
Middle Name:A
Last Name:SALDAMANDO
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 1:158 5TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-4452
Mailing Address - Country:US
Mailing Address - Phone:917-830-5279
Mailing Address - Fax:
Practice Address - Street 1:117 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3522
Practice Address - Country:US
Practice Address - Phone:917-830-5279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0788791041C0700X
CA261931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical