Provider Demographics
NPI:1417834524
Name:ALEXANDRA RAU, LCSW, PC
Entity type:Organization
Organization Name:ALEXANDRA RAU, LCSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-213-7449
Mailing Address - Street 1:80 8TH AVE STE 709
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7176
Mailing Address - Country:US
Mailing Address - Phone:917-213-7449
Mailing Address - Fax:
Practice Address - Street 1:80 8TH AVE STE 709
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7176
Practice Address - Country:US
Practice Address - Phone:917-213-7449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health