IndividualActive
Alexander Socorro, MA, CPT, RSS, CHW
NPI 1275482879 · Phlebotomy Technician · Carbondale, IL
Provider details
- NPI number
- 1275482879
- Entity type
- Individual
- Primary specialty
- Phlebotomy TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- MA, CPT, RSS, CHW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
Practice location
120 N Illinois Ave
Carbondale, IL 62901-1450
Phone: (618) 914-7249
Approximate (ZIP-level) locationGet directions
Mailing address
125 Gobin Ln
Murphysboro, IL 62966-5337
Registry dates
- Enumerated
- 2026-01-26
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.