Healthcare Provider Details

I. General information

NPI: 1730604547
Provider Name (Legal Business Name): ALEXANDRA NICOLE ROBERTSON BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA STERLING

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 SAINT JOSEPH ST STE 205
RAPID CITY SD
57701-5002
US

IV. Provider business mailing address

731 SAINT JOSEPH ST STE 205
RAPID CITY SD
57701-5002
US

V. Phone/Fax

Practice location:
  • Phone: 605-721-0200
  • Fax: 605-721-0165
Mailing address:
  • Phone: 605-721-0200
  • Fax: 605-721-0165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1041C0700X
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: