Healthcare Provider Details

I. General information

NPI: 1114890761
Provider Name (Legal Business Name): ALEXANDRA RHEA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 VALLEY RD
MIDDLETOWN RI
02842
US

IV. Provider business mailing address

42 VALLEY RD
MIDDLETOWN RI
02842
US

V. Phone/Fax

Practice location:
  • Phone: 401-846-1213
  • Fax:
Mailing address:
  • Phone: 401-846-1213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCSW04323
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW04323
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: