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NPI Code Detail

MEDICARE: ALEXA KENDALL LSW

MEDICARE:   ALEXA  KENDALL  LSW
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
1104100000XSocial WorkerS.2512401OH

General Provider Information

NPI Number : 1861389579
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA KENDALL LSW
Provider Business Mailing Address
First Line : 1475 SAWDUST RD APT 3108
Second Line :
City : SPRING
State : TX
Zip : 77380-2974
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1475 SAWDUST RD APT 3108
Second Line :
City : SPRING
State : TX
Zip : 77380-2974
Country : US
Telephone Number : 832-702-4887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 06/24/2025

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Directions to “ ALEXA KENDALL LSW” Practice Location

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