Alexandria Marie Fantozzi, is a
Social Worker - Clinical based in Philadelphia, Pennsylvania. Alexandria Marie Fantozzi is licensed to practice in Pennsylvania (license number CW023268) and her current practice location is
112 N Broad St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 568-0860.
NPI number for Alexandria Marie Fantozzi is 1194244244 and her current mailing address is 25 Ikea Dr, Westampton, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194244244.
Healthcare Provider's Profile
Full Name | Alexandria Marie Fantozzi |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 112 N Broad St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194244244
- Provider Enumeration Date: 09/10/2017
- Last Update Date: 07/23/2024
Medical Identifiers
Medical identifiers for Alexandria Marie Fantozzi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194244244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CW023268 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandria Marie Fantozzi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexandria Marie Fantozzi, 25 Ikea Dr, Westampton, NJ 08060-5115 Ph: () - | Alexandria Marie Fantozzi, 112 N Broad St, Philadelphia, PA 19102-1512 Ph: (215) 568-0860 |
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