Provider Demographics
NPI:1265578991
Name:BARBEHENN, ALEXANDRA EILEEN (LICSW)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:EILEEN
Last Name:BARBEHENN
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 CENTRAL AVE STE 124
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2665
Mailing Address - Country:US
Mailing Address - Phone:603-834-2977
Mailing Address - Fax:
Practice Address - Street 1:835 CENTRAL AVE STE 124
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2665
Practice Address - Country:US
Practice Address - Phone:603-834-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9771041C0700X
MA1111931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30423326Medicaid
NH30423326Medicaid