Doctor Name: | MRS. ALEXIS MAE DE BRAGANCA |
NPI Number: | 1215281191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 078488 |
Business Practice Address: | 16 E 16th Street Institute For Family Health Manhattan Office Ny, NY - 10003 |
Business Phone Number: | 2126330800 |
Business Fax Number: | |
Mailing Address: | 16 East 16th Street, Institute For Family Health Manhattan Office NY |
State: | NY |
Postal Code: | 10003 |
Phone Number: | 2126330800 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2012 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 078488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |