MEDICARE: ALEXIA COLE

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	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	127012	OTHER	NY	NYS EDUCATION DEPARTMENT
2	44SL07238900	OTHER	NJ	NJ BOARD OF SOCIAL WORK EXAMINERS

General Provider Information

NPI Number	:	1679372106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIA COLE

Provider Business Mailing Address
First Line	:	17 FAIRVIEW AVE APT 3A
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 FAIRVIEW AVE APT 3A
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2533
Country	:	US
Telephone Number	:	908-283-0953
Fax Number	:

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

Provider Enumeration Date	:	03/08/2025
Last Update Date	:	04/02/2025

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Directions to “ ALEXIA COLE ” Practice Location

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