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Contact Information

ALEXANDRA C EBKEN, LCSW
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA16801
 Phone: 814-867-0670
 Fax: 814-867-7616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ALEXANDRA C EBKEN · (Female)

NPI Number 1386922177
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/27/2011
Last updated 08/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • DC License # LG50079458
  • PA License # CW020014
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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