Provider Demographics
NPI:1770717571
Name:STEWART, ALEXANDRA LEE (MSW, LCSW)
Entity type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:LEE
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:LEE
Other - Last Name:BRYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:2114 BRIGADE RD
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-1453
Mailing Address - Country:US
Mailing Address - Phone:717-805-8037
Mailing Address - Fax:
Practice Address - Street 1:2114 BRIGADE RD
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-1453
Practice Address - Country:US
Practice Address - Phone:717-805-8037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0200891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical