Healthcare Provider Details

I. General information

NPI: 1437024437
Provider Name (Legal Business Name): ALEXANDRA FLANDERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 ROUTE 71 UNIT 1
SPRING LAKE NJ
07762-2291
US

IV. Provider business mailing address

404 5TH AVE APT 204
ASBURY PARK NJ
07712-5462
US

V. Phone/Fax

Practice location:
  • Phone: 732-829-7377
  • Fax:
Mailing address:
  • Phone: 732-655-8336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06681300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: