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NPI Code Detail

MEDICARE: ALEXANDRA JACQUELINE DORGA LCSW

MEDICARE: ALEXANDRA JACQUELINE DORGA 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
11041C0700XClinical Social Worker102112NY

General Provider Information

NPI Number : 1225890213
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA JACQUELINE DORGA LCSW
Provider Business Mailing Address
First Line : 1819 BERGEN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-4513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1819 BERGEN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-4513
Country : US
Telephone Number : 646-413-1107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 03/22/2026

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Directions to “ ALEXANDRA JACQUELINE DORGA LCSW” Practice Location

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