Healthcare Provider Details

I. General information

NPI: 1013630169
Provider Name (Legal Business Name): ALEXEI-ANN G. GERMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1746 E SILVER STAR RD # 109
OCOEE FL
34761-7014
US

IV. Provider business mailing address

1746 E SILVER STAR RD # 109
OCOEE FL
34761-7014
US

V. Phone/Fax

Practice location:
  • Phone: 407-476-7011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW23832
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: