Provider Demographics
NPI:1700083094
Name:ALEXANDER, JOHN HAMILTON (LCSW, LCADC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HAMILTON
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:245 ACADEMY LN
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2002
Mailing Address - Country:US
Mailing Address - Phone:973-687-5598
Mailing Address - Fax:973-815-9925
Practice Address - Street 1:777 PASSAIC AVE
Practice Address - Street 2:SUITE 550
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1804
Practice Address - Country:US
Practice Address - Phone:973-815-9920
Practice Address - Fax:973-815-9925
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047749001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical