Healthcare Provider Details

I. General information

NPI: 1861330995
Provider Name (Legal Business Name): ALEXIS NICOLE VOSNOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 WATER ST
MILFORD OH
45150-1135
US

IV. Provider business mailing address

117 WATER ST
MILFORD OH
45150-1135
US

V. Phone/Fax

Practice location:
  • Phone: 815-409-6324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026012335
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2608067
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: