Provider Demographics
NPI:1043485238
Name:ALEXANDER, SIGNE HELEN (LCSW, CADC)
Entity type:Individual
Prefix:MS
First Name:SIGNE
Middle Name:HELEN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1 OLD FLYING POINT RD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-6516
Mailing Address - Country:US
Mailing Address - Phone:207-295-5840
Mailing Address - Fax:207-865-6497
Practice Address - Street 1:1 OLD FLYING POINT RD
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-6516
Practice Address - Country:US
Practice Address - Phone:207-295-5840
Practice Address - Fax:207-865-6497
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC6365101YA0400X
MELC1779311041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECAC6365OtherADDICTION AND DRUG COUNSELOR
MELC17931OtherCLINICAL SOCIAL WORK
MEMT2503OtherMASSAGE THERAPY