Healthcare Provider Details

I. General information

NPI: 1548171325
Provider Name (Legal Business Name): ALEXANDRA SLATKIN LGSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 MARTIN LUTHER KING JR AVE SE STE 300
WASHINGTON DC
20032-1542
US

IV. Provider business mailing address

900 N STUART ST APT 2122
ARLINGTON VA
22203-4115
US

V. Phone/Fax

Practice location:
  • Phone: 202-724-7666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0903005012
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200004765
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: