Provider Demographics
NPI:1922576560
Name:MAIERS, ALEXANDRA RENEE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:RENEE
Last Name:MAIERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:ALEXANDRA
Other - Middle Name:RENEE
Other - Last Name:SCHUVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5630 WESTRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-2800
Mailing Address - Country:US
Mailing Address - Phone:712-540-1519
Mailing Address - Fax:
Practice Address - Street 1:505 5TH AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-2324
Practice Address - Country:US
Practice Address - Phone:800-327-4692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA086132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty