Organization Active NPI

Alexandra Grundleger, LCSW, PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1083036370
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73080983 Issued in NY
Legal business name
ALEXANDRA GRUNDLEGER, LCSW, PLLC
Practice address
352 7TH Ave
Suite 1604
New York, NY 10001-5012
Phone
(347) 815-3780
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexandra Grundleger, LCSW
Title
Clinical Psychotherapist
Phone
(347) 815-3780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 73080983 NY Primary

Addresses

Primary practice location

352 7TH Ave
Suite 1604
New York, NY 10001-5012

Mailing address

383 Saint Johns PL
Apt 4D
Brooklyn, NY 11238-5243
Phone (347) 815-3780

National Provider Directory

National Provider Directory

Locations

352 7th Ave
Rm 1604
New York, NY 10001
Phone (646) 455-3449

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1083036370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 SAINT JOHNS PL",
            "address_2": "APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385243",
            "telephone_number": "347-815-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE",
            "address_2": "SUITE 1604",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015012",
            "telephone_number": "347-815-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA GRUNDLEGER, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "GRUNDLEGER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "347-815-3780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73080983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.