Individual provider · Type 1 NPI

Alexandria Wiedenbaum, LCSW

Clinical Social Worker · Albany, NY

NPI number 1306547609 Active

Practice location

200 Great Oaks Blvd Ste 215
Albany, NY 12203-5969

Fax (518) 218-1988

Mailing address

260 Washington Avenue Ext Ste 101
Albany, NY 12203-6326

Other practice locations

  • 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 · (718) 504-9256

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X115494 (NY)
Clinical Social Worker Primary 1041C0700X101665 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1306547609

Alexandria Wiedenbaum, LCSW's National Provider Identifier is 1306547609, issued on Mar 14, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, NY. The record was last updated on Dec 8, 2025.