Roth, Alexandra

Roth, Alexandra is an individual health care provider with primary practice located at 8500 Executive Park Ave Suite 200, Fairfax VA 22031-2225. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Roth, Alexandra can be contacted via phone (703) 698-5220.

Contact Information

Primary practice address
8500 Executive Park Ave Suite 200 Fairfax VA 22031-2225
Phone: (703) 698-5220
Fax: (703) 573-2351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0904003266 Virginia

Profile Details

NPI number 1063411528
LBN Legal business name Roth, Alexandra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063411528 NPPES
Other 528410 NCPPO
Other 0080 NCPPO
Other 269409 NCPPO
Other 7396420 NCPPO
Other 276677-000 NCPPO
Other 4116181 NCPPO

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