Provider Demographics
NPI:1285472498
Name:HATCHER, ALEXANDREA EVELYN (LMSW)
Entity type:Individual
Prefix:
First Name:ALEXANDREA
Middle Name:EVELYN
Last Name:HATCHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 113TH ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7223
Mailing Address - Country:US
Mailing Address - Phone:530-848-5284
Mailing Address - Fax:
Practice Address - Street 1:11247 QUEENS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7418
Practice Address - Country:US
Practice Address - Phone:347-391-4205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102321104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker