Shanequa Mildrina Alexander, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C9282 Issued in MS

Practice address

1120 Route 73 Ste 300
Mount Laurel, NJ 08054-5113

Phone

(800) 442-8938

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: shanequa.alexander.1@24284.direct.athenahealth.com

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1669104659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ROUTE 73 STE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545113",
            "telephone_number": "800-442-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ROUTE 73 STE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545113",
            "telephone_number": "800-442-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SHANEQUA",
        "middle_name": "MILDRINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelo J. Aiello, O.D.
• Adenike A Ajagunna
• Joy M. Akpan, APN
• Akron Children'S Hospital
• Corey Elizabeth Alban
• Robert A Allen, M.D.
• Allergy & Asthma Associates
• Allergy and Asthma Specialty Physicians, LLC
• Allergy Asthma and Sinus Institute
• Allies, Inc.

• Clinical Social Worker in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.