MEDICARE: MS. ANGELIA NASHA ALEXANDER 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
2	1041C0700X	Clinical Social Worker	8855-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710418611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELIA NASHA ALEXANDER LCSW

Provider Business Mailing Address
First Line	:	4325 W ROME BLVD APT 1018
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2112
Country	:	US
Telephone Number	:	702-801-5949
Fax Number	:	702-543-7977

Provider Business Practice Location Address
First Line	:	3925 NORTH MARTIN LUTHER KING BLVD
Second Line	:	SUITE 119
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-7848
Country	:	US
Telephone Number	:	702-258-0031
Fax Number	:	702-221-0103

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

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	05/14/2021

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