Provider Demographics
NPI:1689030801
Name:FIGUEROA, ALEXANDRIA J (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:J
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:SPARROW BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12780-5438
Mailing Address - Country:US
Mailing Address - Phone:914-830-1205
Mailing Address - Fax:845-342-4965
Practice Address - Street 1:40 SMITH ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3711
Practice Address - Country:US
Practice Address - Phone:845-216-2524
Practice Address - Fax:845-342-4965
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73-0812471041C0700X, 1041C0700X
SC11393101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical