Healthcare Provider Details

I. General information

NPI: 1992471023
Provider Name (Legal Business Name): ALEXANDRIA LACH SWT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MERCHANT ST
SPRINGDALE OH
45246-3735
US

IV. Provider business mailing address

2226 SLANE AVE
NORWOOD OH
45212-3616
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-9600
  • Fax:
Mailing address:
  • Phone: 513-646-2577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: