Provider Demographics
NPI:1679810659
Name:SIXBEY, ALICE A (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:A
Last Name:SIXBEY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 THORSBY RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21405-2012
Mailing Address - Country:US
Mailing Address - Phone:443-569-5027
Mailing Address - Fax:410-849-3444
Practice Address - Street 1:20 RIDGELY AVE
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1410
Practice Address - Country:US
Practice Address - Phone:443-569-5027
Practice Address - Fax:410-849-7344
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD113561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical