Provider Demographics
NPI:1356094346
Name:CAUSEY, LEXIEMARIEL (OTR/L)
Entity type:Individual
Prefix:
First Name:LEXIEMARIEL
Middle Name:
Last Name:CAUSEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LEXIEMARIEL
Other - Middle Name:
Other - Last Name:RODRIGUEZ-SERRANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:265 3RD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-2799
Mailing Address - Country:US
Mailing Address - Phone:919-444-8288
Mailing Address - Fax:
Practice Address - Street 1:351 W 42ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6925
Practice Address - Country:US
Practice Address - Phone:212-245-6600
Practice Address - Fax:212-245-8553
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026423225X00000X, 225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist