Provider Demographics
NPI:1417678673
Name:ALCHUS, STEVEN JON (LCSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JON
Last Name:ALCHUS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10964 COLONEL WINN LOOP
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2517
Mailing Address - Country:US
Mailing Address - Phone:512-378-0801
Mailing Address - Fax:
Practice Address - Street 1:10964 COLONEL WINN LOOP
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-2517
Practice Address - Country:US
Practice Address - Phone:512-378-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical