Physician Compare National (NPI:1316924483)

HEALTHCARE PROVIDER: LISA ALEXANDER LICSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316924483
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911898259
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040324000612
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALEXANDER
	Individual professional last name
Provider First Name	LISA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	CSW
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	639 GRANITE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 310
	Group Practice or individual's line 2 address
City	BRAINTREE
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021845370
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7817753018
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y