Provider Demographics
NPI:1659749224
Name:RECALT, ALEXANDER (PHD, MS, LCSW)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:RECALT
Suffix:
Gender:
Credentials:PHD, MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 WESTWOOD BLVD UNIT 1585
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2109
Mailing Address - Country:US
Mailing Address - Phone:305-747-1412
Mailing Address - Fax:
Practice Address - Street 1:2355 WESTWOOD BLVD UNIT 1585
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2109
Practice Address - Country:US
Practice Address - Phone:305-747-1412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-12
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122671041C0700X
CA813561041C0700X
ORL156101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical