Provider Demographics
NPI:1295342400
Name:KARAM, ALEXANDER REID (LGSW)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:REID
Last Name:KARAM
Suffix:
Gender:M
Credentials:LGSW
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:KARAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LGSW
Mailing Address - Street 1:1606 KIRKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5236
Mailing Address - Country:US
Mailing Address - Phone:917-514-5717
Mailing Address - Fax:
Practice Address - Street 1:801 PENNSYLVANIA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2167
Practice Address - Country:US
Practice Address - Phone:202-798-1279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09030029931041C0700X
DCLG500833101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical