MEDICARE: ALEXANDRA HOWLETT 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	101YM0800X	Mental Health Counselor	44SL06374000	NJ
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1649767609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA HOWLETT LCSW

Provider Business Mailing Address
First Line	:	36 E SHENENDOAH RD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-9031
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2290 W COUNTY LINE RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-2267
Country	:	US
Telephone Number	:	732-675-3451
Fax Number	:

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

Provider Enumeration Date	:	04/16/2018
Last Update Date	:	10/04/2022

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