Provider Demographics
NPI:1144011057
Name:GOLDFEDER, ALEXA DEBRA (MSW)
Entity type:Individual
Prefix:MRS
First Name:ALEXA
Middle Name:DEBRA
Last Name:GOLDFEDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1401
Mailing Address - Country:US
Mailing Address - Phone:424-523-2141
Mailing Address - Fax:
Practice Address - Street 1:144 GROVE AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2324
Practice Address - Country:US
Practice Address - Phone:347-391-4205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker