Healthcare Provider Details

I. General information

NPI: 1457390338
Provider Name (Legal Business Name): SARAH J. ALEXANDER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 E 41ST ST SUITE 100
SIOUX FALLS SD
57105-6053
US

IV. Provider business mailing address

705 E 41ST ST SUITE 100
SIOUX FALLS SD
57105-6053
US

V. Phone/Fax

Practice location:
  • Phone: 605-357-0131
  • Fax: 605-357-0190
Mailing address:
  • Phone: 605-357-0131
  • Fax: 615-357-0190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2380
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1025400
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2380
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: