Provider Demographics
NPI:1467872648
Name:ALEXANDER, STEPHANIE (MSW, LMSW-P)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MSW, LMSW-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 APPLETON WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-3101
Mailing Address - Country:US
Mailing Address - Phone:405-414-0592
Mailing Address - Fax:
Practice Address - Street 1:1200 CHILDRENS AVE STE 6A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4637
Practice Address - Country:US
Practice Address - Phone:405-271-6827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK21383-P104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker