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NPI Code Detail

MEDICARE: ALEXANDRA B RICHARDS LCSW

MEDICARE:   ALEXANDRA B RICHARDS  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
1104100000XSocial Worker2017018454MO
21041C0700XClinical Social Worker2017018454MO

General Provider Information

NPI Number : 1710466099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA B RICHARDS LCSW
Provider Business Mailing Address
First Line : 222 S MERAMEC AVE STE 202-1081
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63105-1805
Country : US
Telephone Number : 314-704-0753
Fax Number :
Provider Business Practice Location Address
First Line : 222 S MERAMEC AVE STE 202-1081
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63105-1805
Country : US
Telephone Number : 314-704-0753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2018
Last Update Date : 08/27/2021

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Directions to “ ALEXANDRA B RICHARDS LCSW” Practice Location

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