Provider Demographics
NPI:1417100702
Name:SHIFLET, ALEXIS ANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:ANNE
Last Name:SHIFLET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ALEXIS
Other - Middle Name:ANNE
Other - Last Name:SLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1241 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-4632
Mailing Address - Country:US
Mailing Address - Phone:540-434-1941
Mailing Address - Fax:540-434-1791
Practice Address - Street 1:1241 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802
Practice Address - Country:US
Practice Address - Phone:540-434-1941
Practice Address - Fax:540-434-1791
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040069701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical