Alexandra Fish | Media, PA • PECOS Search

Alexandra Fish

Social Worker

Behavioral Health & Social Service Providers

134 Barren Rd, Media, PA 19063-4505

(610) 627-6200 (856) 340-1439

PECOS Enrollment

Based on the most recent information from CMS, provider Alexandra Fish does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245069236
Provider Type
Individual
Full Name
Fish, Alexandra
Gender
Female

Sole Proprietor
No
Enumeration Date
7/29/2024
Last Updated
7/29/2024

Contact Information

Practice Location

134 Barren Rd, Media, PA 19063-4505

Unlisted Fax

Mailing Location

837 Wilder St, Philadelphia, PA 19147-5713

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 139178 Pennsylvania