Healthcare Provider Details

I. General information

NPI: 1063345551
Provider Name (Legal Business Name): ALEXANDRA JOSETTE NITSCHE BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEX J. NITSCHE BSW

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34290 FORD RD
WESTLAND MI
48185-3051
US

IV. Provider business mailing address

34290 FORD RD
WESTLAND MI
48185-3051
US

V. Phone/Fax

Practice location:
  • Phone: 734-355-9332
  • Fax:
Mailing address:
  • Phone: 734-355-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: