Provider Demographics
NPI:1912889262
Name:SLOVIKOSKY, ALEXANDRA R
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:R
Last Name:SLOVIKOSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MONOCACY CIR
Mailing Address - Street 2:
Mailing Address - City:TANEYTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21787-2247
Mailing Address - Country:US
Mailing Address - Phone:443-536-4324
Mailing Address - Fax:
Practice Address - Street 1:55 JONATHAN ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4801
Practice Address - Country:US
Practice Address - Phone:240-469-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD33316104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker