Provider Demographics
NPI:1487895868
Name:KUTSCHA, ALEKSANDRA E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALEKSANDRA
Middle Name:E
Last Name:KUTSCHA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ALEKSANDRA
Other - Middle Name:E
Other - Last Name:JANKOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 CUTSHAW PL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1108
Mailing Address - Country:US
Mailing Address - Phone:804-245-2972
Mailing Address - Fax:
Practice Address - Street 1:5855 BREMO RD STE 403
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1924
Practice Address - Country:US
Practice Address - Phone:804-288-2673
Practice Address - Fax:804-285-5572
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040070541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004945352Medicaid