Provider Demographics
NPI:1770925307
Name:SOSA MISTRY, ALEXANDRIA KATE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:KATE
Last Name:SOSA MISTRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CARLOW WAY
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1129
Mailing Address - Country:US
Mailing Address - Phone:917-885-9914
Mailing Address - Fax:
Practice Address - Street 1:27 CARLOW WAY
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1129
Practice Address - Country:US
Practice Address - Phone:917-885-9914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088110104100000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker