Healthcare Provider Details

I. General information

NPI: 1912415225
Provider Name (Legal Business Name): ALEXIS TRAINOR HOURIHAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2018
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 STATE ST
ALBANY NY
12207-2541
US

IV. Provider business mailing address

231 GANSEVOORT RD
GANSEVOORT NY
12831-1615
US

V. Phone/Fax

Practice location:
  • Phone: 888-380-2028
  • Fax:
Mailing address:
  • Phone: 631-891-7776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089854
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: