MEDICARE: DR. ALEXANDER RECALT PHD, MS, 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	81356	CA
2	1041C0700X	Clinical Social Worker	L15610	OR
3	1041C0700X	Clinical Social Worker	12267	FL

General Provider Information

NPI Number	:	1659749224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER RECALT PHD, MS, LCSW

Provider Business Mailing Address
First Line	:	9999 NE 2ND AVE STE 311
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2346
Country	:	US
Telephone Number	:	305-747-1412
Fax Number	:

Provider Business Practice Location Address
First Line	:	9999 NE 2ND AVE STE 311
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2346
Country	:	US
Telephone Number	:	305-747-1412
Fax Number	:

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

Provider Enumeration Date	:	09/12/2015
Last Update Date	:	05/16/2026

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