Provider Demographics
NPI:1871844340
Name:GOLD, ALEKSANDRA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:GOLD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2951 OCEAN AVE STE AA
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3263
Mailing Address - Country:US
Mailing Address - Phone:917-615-9771
Mailing Address - Fax:718-648-3629
Practice Address - Street 1:2951 OCEAN AVE STE AA
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3263
Practice Address - Country:US
Practice Address - Phone:917-615-9771
Practice Address - Fax:718-648-3629
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0845531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical