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NPI Code Detail

MEDICARE: ALEXANDRA PAPPAS LCSW

MEDICARE: ALEXANDRA PAPPAS 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
11041C0700XClinical Social WorkerCW020435PA

General Provider Information

NPI Number : 1164065496
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA PAPPAS LCSW
Provider Business Mailing Address
First Line : 228 SUMMIT AVE
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-1526
Country : US
Telephone Number : 215-316-2288
Fax Number :
Provider Business Practice Location Address
First Line : 228 SUMMIT AVE
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-1526
Country : US
Telephone Number : 215-316-2288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2019
Last Update Date : 10/18/2019

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Directions to “ ALEXANDRA PAPPAS LCSW” Practice Location

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