MEDICARE: ALEXANDRIA RUGGIERO 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		NJ

General Provider Information

NPI Number	:	1215893110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA RUGGIERO LCSW

Provider Business Mailing Address
First Line	:	90 DUTCH LANE RD
Second Line	:
City	:	MARLBORO
State	:	NJ
Zip	:	07746-2041
Country	:	US
Telephone Number	:	718-755-3242
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 DUTCH LANE RD
Second Line	:
City	:	MARLBORO
State	:	NJ
Zip	:	07746-2041
Country	:	US
Telephone Number	:	718-755-3242
Fax Number	:	718-755-3242

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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