Ponce, Alexa Karen

Ponce, Alexa Karen is an individual health care provider with primary practice located at 9114 37Th Ave , Jackson Heights NY 11372-7920. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ponce, Alexa Karen can be contacted via phone (718) 779-1600.

Contact Information

Primary practice address
9114 37Th Ave Jackson Heights NY 11372-7920
Phone: (718) 779-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 084906 New York

Profile Details

NPI number 1114099249
LBN Legal business name Ponce, Alexa Karen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Dec 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114099249 NPPES
New York Other 077199 NYS LICENSE #

Popular Providers