MEDICARE: MR. ALEXANDER BAILEY LANE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW14232	FL

General Provider Information

NPI Number	:	1104058569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXANDER BAILEY LANE LCSW

Provider Business Mailing Address
First Line	:	620 W SHADY LN
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-2052
Country	:	US
Telephone Number	:	207-347-9904
Fax Number	:

Provider Business Practice Location Address
First Line	:	2033 E EDGEWOOD DR STE 4
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-3660
Country	:	US
Telephone Number	:	638-606-8097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2009
Last Update Date	:	02/28/2025

Similar Medicare Providers

1205442548 — HAYLEY RENEE MALOY LCSW
Practice Location Address:

2033 E EDGEWOOD DR STE 4
LAKELAND, FL
33803-3660

Practice Phone: 863-797-4040
Practice Fax:

1629138722 — MS. IBOLYA STIPKOVITS MSW, LCSW
Practice Location Address:

2033 E EDGEWOOD DR , SUITE 104
LAKELAND, FL
33803-3660

Practice Phone: 863-255-0297
Practice Fax:

1265626527 — MELISSA A BROWN-MCQUEEN LCSW
Practice Location Address:

2033 E EDGEWOOD DR , SUITE 4
LAKELAND, FL
33803-3660

Practice Phone: 863-797-6183
Practice Fax:

1912177312 — MS. JASMINE LANE LCSW
Practice Location Address:

2033 E EDGEWOOD DR STE 4
LAKELAND, FL
33803-3660

Practice Phone: 863-968-6348
Practice Fax:

1578818647 — MEAGAN PRESNELL
Practice Location Address:

2033 E EDGEWOOD DR STE 4
LAKELAND, FL
33803-3660

Practice Phone: 863-225-3163
Practice Fax:

1083019228 — MS. RITA D LANGDALE LCSW, RD
Practice Location Address:

2033 E EDGEWOOD DR STE 1
LAKELAND, FL
33803-3660

Practice Phone: 863-712-0877
Practice Fax: 863-777-5412

Directions to “ MR. ALEXANDER BAILEY LANE LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.