Provider Demographics
NPI:1700940749
Name:ALEXANDER, LINDA ELLEN (EDD, MSW)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ELLEN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:EDD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 BELMONT RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1023
Mailing Address - Country:US
Mailing Address - Phone:516-487-9619
Mailing Address - Fax:
Practice Address - Street 1:4519 BELMONT RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1023
Practice Address - Country:US
Practice Address - Phone:516-487-9619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0362481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical