Provider Demographics
NPI:1912937848
Name:ALEXANDER, PAULA (LCSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PJ
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:5410 HOMBERG DR.
Mailing Address - Street 2:SUITE 18
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5029
Mailing Address - Country:US
Mailing Address - Phone:865-640-5492
Mailing Address - Fax:865-671-1271
Practice Address - Street 1:5410 HOMBERG DR.
Practice Address - Street 2:SUITE 18
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5029
Practice Address - Country:US
Practice Address - Phone:865-640-5492
Practice Address - Fax:865-671-1271
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000036231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1506877Medicaid