Provider Demographics
NPI:1679294888
Name:ALEXANDER, CHANTEL BELLA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CHANTEL
Middle Name:BELLA
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:CHANTEL
Other - Middle Name:BELLA
Other - Last Name:WADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8309 DEER RUN CT
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-2519
Mailing Address - Country:US
Mailing Address - Phone:973-424-3013
Mailing Address - Fax:
Practice Address - Street 1:33 RIGGS RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2463
Practice Address - Country:US
Practice Address - Phone:973-424-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD289771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty