Healthcare Provider Details

I. General information

NPI: 1700940749
Provider Name (Legal Business Name): LINDA ELLEN ALEXANDER ED.D, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2404 166TH ST
WHITESTONE NY
11357-4019
US

IV. Provider business mailing address

2404 166TH ST
WHITESTONE NY
11357-4019
US

V. Phone/Fax

Practice location:
  • Phone: 516-487-9619
  • Fax:
Mailing address:
  • Phone: 516-487-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR036248
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: