Healthcare Provider Details

I. General information

NPI: 1689496895
Provider Name (Legal Business Name): ALEXANDRA ANNE ACHEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W BROAD ST STE 204
BETHLEHEM PA
18018-5229
US

IV. Provider business mailing address

318 CHURCH RD
KUNKLETOWN PA
18058-7238
US

V. Phone/Fax

Practice location:
  • Phone: 484-954-8327
  • Fax:
Mailing address:
  • Phone: 631-504-1352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06577700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW026466
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904019196
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: