MEDICARE: ALEXANDRA PARHAM

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		OK
2	1041C0700X	Clinical Social Worker	CSW.09931922	CO

General Provider Information

NPI Number	:	1790319879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA PARHAM

Provider Business Mailing Address
First Line	:	5353 W DARTMOUTH AVE STE 305
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5517
Country	:	US
Telephone Number	:	720-515-5630
Fax Number	:

Provider Business Practice Location Address
First Line	:	5353 W DARTMOUTH AVE STE 305
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5517
Country	:	US
Telephone Number	:	720-515-5630
Fax Number	:

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

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	12/03/2025

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Directions to “ ALEXANDRA PARHAM ” Practice Location

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