Healthcare Provider Details

I. General information

NPI: 1760297659
Provider Name (Legal Business Name): ALEXIS MCFADDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 S 19TH ST
PITTSBURGH PA
15203-1852
US

IV. Provider business mailing address

81 S 19TH ST
PITTSBURGH PA
15203-1852
US

V. Phone/Fax

Practice location:
  • Phone: 412-430-4740
  • Fax:
Mailing address:
  • Phone: 412-430-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW026995
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: