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NPI 1780555730

NPI 1780555730 : ALEXANDREA JOHNSON LMSW : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1780555730
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDREA JOHNSON LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2025
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    2028 RITTENHOUSE SQ APT 301 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-5621
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    Country              |    US
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    Telephone            |    646-760-8421
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2181 MADISON AVE APT 8H 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10037-2335
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    Country              |    US
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    Telephone            |    347-863-1970
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    127588
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    License Number State |    NY
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