MEDICARE: ALEXA GIARDINO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	096733	NY

General Provider Information

NPI Number	:	1043880339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA GIARDINO LCSW

Provider Business Mailing Address
First Line	:	97 N ALLEN ST
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-1636
Country	:	US
Telephone Number	:	516-587-3023
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 3763
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12203-0763
Country	:	US
Telephone Number	:	518-285-0757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2021
Last Update Date	:	04/06/2026

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