Provider Demographics
NPI:1821733197
Name:SCHMIEDESKAMP, ALEXANDRIA LOUISE (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LOUISE
Last Name:SCHMIEDESKAMP
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 1:15 S ACACIA PARK CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1659
Mailing Address - Country:US
Mailing Address - Phone:281-509-2774
Mailing Address - Fax:
Practice Address - Street 1:15 S ACACIA PARK CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77382-1659
Practice Address - Country:US
Practice Address - Phone:281-509-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX537341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical