DR. CLYDE ALEXANDER PH.D LMSW NPI 1356562177

NPI Information

NPI: 1356562177
Provider Name: DR. CLYDE ALEXANDER, PH.D, LMSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
43996 WOODWARD AVENUE
SUITE 102
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (248) 335-1711
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DR. Clyde Alexander, PH.D, LMSW is a social worker in Bloomfield Hills, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. DR. Clyde Alexander, PH.D, LMSW NPI is 1356562177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

43996 WOODWARD AVENUE
SUITE 102
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (248) 335-1711
Fax: (248) 335-7950

The enumeration date for this NPI number is 5/1/2007 and was last updated on 4/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	6801059815	MICHIGAN	No
2	103TB0200X	Psychologist	Cognitive & Behavioral	6801059815	MICHIGAN	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6801059815	MICHIGAN	No
4	104100000X	Social Worker		6801059815	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M37800002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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