=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932037900
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEX DOUGLAS SAWICKI CASAC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2026
-----------------------------------------------------
Last Update Date | 05/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 431 MEMORIAL PKWY
-----------------------------------------------------
City | NIAGARA FALLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14303-1407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-284-6228
-----------------------------------------------------
Fax | 716-284-1016
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4625 ISHERWOOD DR
-----------------------------------------------------
City | NIAGARA FALLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14305-1370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-284-6228
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 42182
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------