NPI Code Details Logo

NPI 1003792557

NPI 1003792557 : ALEXA FEELA LCSW : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003792557
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALEXA FEELA LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/12/2025
-----------------------------------------------------
    Last Update Date     |    08/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2240 W OGDEN AVE STE 3 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60612-4882
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-537-3250
-----------------------------------------------------
    Fax                  |    773-432-6547
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3423 W LYNDALE ST # 2 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60647-3513
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    612-554-1246
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    149.029729
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.