Provider Demographics
NPI:1891980025
Name:ALEKSENKO, NATALIA (PSYD, LCP)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:ALEKSENKO
Suffix:
Gender:F
Credentials:PSYD, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 CONNECTICUT AVE NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5700
Mailing Address - Country:US
Mailing Address - Phone:571-295-5433
Mailing Address - Fax:
Practice Address - Street 1:1801 CONNECTICUT AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5700
Practice Address - Country:US
Practice Address - Phone:571-295-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003851103TC0700X
DCPSY200001395103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical