Provider Demographics
NPI:1699923458
Name:CALDWELL, ALEXIS (MHR, LADC, LCSW)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MHR, LADC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 SE 29TH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-2615
Mailing Address - Country:US
Mailing Address - Phone:405-588-7817
Mailing Address - Fax:
Practice Address - Street 1:3909 SE 29TH ST STE 120
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-2615
Practice Address - Country:US
Practice Address - Phone:405-588-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health