MEDICARE: ALEXANDRA RAY WOOD 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	26354	FL

General Provider Information

NPI Number	:	1487547618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA RAY WOOD LCSW

Provider Business Mailing Address
First Line	:	12021 PIONEERS WAY APT 1411
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-2805
Country	:	US
Telephone Number	:	813-340-5707
Fax Number	:

Provider Business Practice Location Address
First Line	:	12021 PIONEERS WAY APT 1411
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-2805
Country	:	US
Telephone Number	:	813-340-5707
Fax Number	:

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

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	04/20/2026

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