Healthcare Provider Details

I. General information

NPI: 1538560867
Provider Name (Legal Business Name): ALEXANDRA SCHILD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA MILLER

II. Dates (important events)

Enumeration Date: 09/05/2014
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 ELLIS ST
FREEHOLD NJ
07728-1810
US

IV. Provider business mailing address

14 ELLIS ST
FREEHOLD NJ
07728-1810
US

V. Phone/Fax

Practice location:
  • Phone: 732-677-6518
  • Fax:
Mailing address:
  • Phone: 732-677-6518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05717000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: