Provider Demographics
NPI:1447001623
Name:RICKS, ALEXANDRA JAYE (MSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JAYE
Last Name:RICKS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 ROWLAND HTS
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-1129
Mailing Address - Country:US
Mailing Address - Phone:480-881-8982
Mailing Address - Fax:
Practice Address - Street 1:4709 ROWLAND HTS
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-1129
Practice Address - Country:US
Practice Address - Phone:480-881-8982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker