Provider Demographics
NPI:1013904580
Name:MACDONALD, ALEXANDER F (LSCSW)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:F
Last Name:MACDONALD
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18700 W LAKE HOUSTON PKWY STE A102
Mailing Address - Street 2:
Mailing Address - City:ATASCOCITA
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3350
Mailing Address - Country:US
Mailing Address - Phone:913-967-9039
Mailing Address - Fax:
Practice Address - Street 1:18700 W LAKE HOUSTON PKWY STE A102
Practice Address - Street 2:
Practice Address - City:ATASCOCITA
Practice Address - State:TX
Practice Address - Zip Code:77346-3350
Practice Address - Country:US
Practice Address - Phone:913-967-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1040951041C0700X
KS24831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical