Provider Demographics
NPI:1538642541
Name:HATTON, ALEXANDRIA JANICE (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:JANICE
Last Name:HATTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:JANICE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:4949 LIBERTY LN STE 10
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9017
Mailing Address - Country:US
Mailing Address - Phone:610-393-6023
Mailing Address - Fax:
Practice Address - Street 1:4949 LIBERTY LN STE 10
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9017
Practice Address - Country:US
Practice Address - Phone:610-393-6023
Practice Address - Fax:484-214-0392
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0225511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical