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NPI Code Detail

MEDICARE: ALEXANDRA MARIE LEWCZYK LCSW

MEDICARE: ALEXANDRA MARIE LEWCZYK 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 WorkerLICSW1121490MA

General Provider Information

NPI Number : 1730792094
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MARIE LEWCZYK LCSW
Provider Business Mailing Address
First Line : 135 GOLD STAR BLVD
Second Line :
City : WORCESTER
State : MA
Zip : 01606-2738
Country : US
Telephone Number : 508-459-6466
Fax Number :
Provider Business Practice Location Address
First Line : 135 GOLD STAR BLVD
Second Line :
City : WORCESTER
State : MA
Zip : 01606-2738
Country : US
Telephone Number : 508-459-6466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 02/17/2026

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