MEDICARE: ALEX HONIGMAN 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	0904009541	VA
2	1041C0700X	Clinical Social Worker	21841	MD
3	1041C0700X	Clinical Social Worker	LC50080956	DC
4	1041C0700X	Clinical Social Worker	26866	CA

General Provider Information

NPI Number	:	1861852212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX HONIGMAN LCSW

Provider Business Mailing Address
First Line	:	311 EUCLID AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2737
Country	:	US
Telephone Number	:	562-715-3109
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 EUCLID AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2737
Country	:	US
Telephone Number	:	562-715-3109
Fax Number	:

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

Provider Enumeration Date	:	02/27/2016
Last Update Date	:	06/02/2021

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