Provider Demographics
NPI:1700685476
Name:THEEL, ALEXANDRIA (MSW, LCSW (CSW))
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:THEEL
Suffix:
Gender:F
Credentials:MSW, LCSW (CSW)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 S STEVEN DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-1021
Mailing Address - Country:US
Mailing Address - Phone:605-214-2909
Mailing Address - Fax:
Practice Address - Street 1:5100 E ROSA PARKS PL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-3091
Practice Address - Country:US
Practice Address - Phone:605-306-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6750104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker