Provider Demographics
NPI:1548997018
Name:CRAPANZANO, ALEXA ROSALIE (LSW)
Entity type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:ROSALIE
Last Name:CRAPANZANO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2315
Mailing Address - Country:US
Mailing Address - Phone:908-461-2431
Mailing Address - Fax:
Practice Address - Street 1:160 CONOVER ROAD
Practice Address - Street 2:
Practice Address - City:WICKATUNK
Practice Address - State:NJ
Practice Address - Zip Code:07765
Practice Address - Country:US
Practice Address - Phone:732-946-4771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06714800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker