MEDICARE: ALEXANDRA JAMIESON, LLC

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

General Provider Information

NPI Number	:	1114709367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDRA JAMIESON, LLC

Provider Business Mailing Address
First Line	:	361 MASSACHUSETTS AVE
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-6745
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 MASSACHUSETTS AVE
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02474-6745
Country	:	US
Telephone Number	:	617-299-9072
Fax Number	:

Authorized Official
Title or Position	:	LICSW
Name	:	ALEXANDRA JAMIESON
Credential	:
Telephone Number	:	617-299-9072

Provider Enumeration Date	:	10/20/2023
Last Update Date	:	10/20/2023

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