IndividualActive
Alexandria Poe, LCSW
NPI 1629793260 · Clinical Social Worker · Sullivan, IL
Provider details
- NPI number
- 1629793260
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149.024906 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
16 Kas Villa Acres
Sullivan, IL 61951-9107
Phone: (217) 521-9276
Approximate (ZIP-level) locationGet directions
Mailing address
16 Kas Villa Acres
Sullivan, IL 61951-9107
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.