Healthcare Provider Details

I. General information

NPI: 1659016855
Provider Name (Legal Business Name): ALEXANDRA MORGAN POOLE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 N 5TH ST
HUDSON NY
12534-1945
US

IV. Provider business mailing address

27 N 5TH ST APT 2
HUDSON NY
12534-1945
US

V. Phone/Fax

Practice location:
  • Phone: 347-645-3127
  • Fax:
Mailing address:
  • Phone: 347-645-3127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100633
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: