Provider Demographics
NPI:1265908487
Name:MCFARLAND, ALEXANDRA ALEESE (LSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:ALEESE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 TY DR
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660-2207
Mailing Address - Country:US
Mailing Address - Phone:937-515-3388
Mailing Address - Fax:
Practice Address - Street 1:14297 STATE ROUTE 41
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-9749
Practice Address - Country:US
Practice Address - Phone:937-779-3030
Practice Address - Fax:937-779-3108
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2846684Medicaid