Provider Demographics
NPI:1639962285
Name:ALEXANDER, VERONICA L (MSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:L
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:L
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2056 LINNELL AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-4643
Mailing Address - Country:US
Mailing Address - Phone:707-845-3131
Mailing Address - Fax:
Practice Address - Street 1:132 E BROADWAY STE 431
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3158
Practice Address - Country:US
Practice Address - Phone:541-390-4559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical