National Provider Identifier

Alexander Leljedal, LCSW

Alexander Leljedal, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 737-4711.

NPI 1760143036Elmira, NYClinical Social Worker

Profile Overview

NPI
1760143036
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 07, 2022
Last Updated
January 17, 2025

Practice Location

  • 100 Washington St
  • Elmira, NY 14901-2849

Phone: (607) 737-4711

Mailing Address

  • 418 N Main St
  • Penn Yan, NY 14527-1070

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1760143036
Entity Type
Individual
Last Name
Leljedal
First Name
Alexander
Credential
LCSW
Mailing Street Address
418 N Main St
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-1070
Mailing Country
US
Practice Street Address
100 Washington St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2849
Practice Country
US
Practice Phone
(607) 737-4711
Enumeration Date
January 07, 2022
Last Updated
January 17, 2025
Sex
Male
Sole Proprietor
No
Certification Date
January 17, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)