Provider Demographics
NPI:1952977704
Name:CASELMAN, ALEXANDRA NOELLE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NOELLE
Last Name:CASELMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 S 54TH STREET
Mailing Address - Street 2:STE 2
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758
Mailing Address - Country:US
Mailing Address - Phone:479-372-7446
Mailing Address - Fax:
Practice Address - Street 1:3103 S 54TH STREET
Practice Address - Street 2:STE 2
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758
Practice Address - Country:US
Practice Address - Phone:479-372-7446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0164041041C0700X
AR22460-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty