Provider Demographics
NPI:1023131703
Name:STACHER, ALEXA KIM (LCSW)
Entity type:Individual
Prefix:MISS
First Name:ALEXA
Middle Name:KIM
Last Name:STACHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 E MAIDEN ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4964
Mailing Address - Country:US
Mailing Address - Phone:724-222-8525
Mailing Address - Fax:724-222-8545
Practice Address - Street 1:87 E MAIDEN ST
Practice Address - Street 2:SUITE #2
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4964
Practice Address - Country:US
Practice Address - Phone:724-222-8525
Practice Address - Fax:724-222-8545
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0148141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical