Provider Demographics
NPI:1003398173
Name:SCHWACH, ALEXIS (LCSW)
Entity type:Individual
Prefix:MISS
First Name:ALEXIS
Middle Name:
Last Name:SCHWACH
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 1:72 SPRING POND DR
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2034
Mailing Address - Country:US
Mailing Address - Phone:914-844-3989
Mailing Address - Fax:
Practice Address - Street 1:180 S BROADWAY STE 409
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1820
Practice Address - Country:US
Practice Address - Phone:914-844-3989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091277104100000X
CT103101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker