IndividualActive
Alexandra Defina, LICSW
NPI 1740762376 · Clinical Social Worker · Fort Campbell, KY
Provider details
- NPI number
- 1740762376
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- ISW03599 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 412-3112
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2018-08-30
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.