Provider Demographics
NPI:1811651300
Name:ALICE SIXBEY LCSW-C LLC
Entity type:Organization
Organization Name:ALICE SIXBEY LCSW-C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:ATKINS
Authorized Official - Last Name:SIXBEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-569-5027
Mailing Address - Street 1:344 THORSBY RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21405-2012
Mailing Address - Country:US
Mailing Address - Phone:443-569-5027
Mailing Address - Fax:410-849-7344
Practice Address - Street 1:20 RIDGELY AVE STE 203
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1400
Practice Address - Country:US
Practice Address - Phone:443-569-5027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty