Healthcare Provider Details

I. General information

NPI: 1932087079
Provider Name (Legal Business Name): ALEXANDRA MICHELLE RICE CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 HOLMAN AVE
COVINGTON KY
41011-3013
US

IV. Provider business mailing address

600 GREENUP ST
COVINGTON KY
41011-2524
US

V. Phone/Fax

Practice location:
  • Phone: 859-292-5812
  • Fax:
Mailing address:
  • Phone: 859-349-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number258907
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: