Healthcare Provider Details

I. General information

NPI: 1568056281
Provider Name (Legal Business Name): ALEXA YEARY LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 E WASHINGTON ST
NAPOLEON OH
43545-1698
US

IV. Provider business mailing address

219 E WASHINGTON ST
NAPOLEON OH
43545-1698
US

V. Phone/Fax

Practice location:
  • Phone: 419-592-0540
  • Fax: 419-592-4514
Mailing address:
  • Phone: 419-592-0540
  • Fax: 419-592-4514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2208534
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCDCA.172597
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2208534
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: