Provider Demographics
NPI:1598177040
Name:HIGHSMITH, ALEXIS NICHOLE (MSW, MS)
Entity Type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:NICHOLE
Last Name:HIGHSMITH
Suffix:
Gender:F
Credentials:MSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6415 LAKE WORTH RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2910
Mailing Address - Country:US
Mailing Address - Phone:561-327-6977
Mailing Address - Fax:561-420-0050
Practice Address - Street 1:6415 LAKE WORTH RD
Practice Address - Street 2:SUITE 307
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-2910
Practice Address - Country:US
Practice Address - Phone:561-327-6977
Practice Address - Fax:561-420-0050
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 59331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical