Provider Demographics
NPI:1952909376
Name:PENDREY, ALEXANDER CHARLES (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:CHARLES
Last Name:PENDREY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 W ALEX LN
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34434-3401
Mailing Address - Country:US
Mailing Address - Phone:907-268-9784
Mailing Address - Fax:855-975-0619
Practice Address - Street 1:1411 W ALEX LN
Practice Address - Street 2:
Practice Address - City:CITRUS SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34434-3401
Practice Address - Country:US
Practice Address - Phone:901-300-0141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW233691041C0700X
AK1641271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical