Individual
ALEXIS MADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3810 N FRONT ST STE 3, FAYETTEVILLE, AR 72703-5222
(479) 339-1238
Mailing address
5657 SOUTHWOOD AVE, SPRINGDALE, AR 72764-4037
(479) 402-2469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8901-C
AR
1041C0700X
Clinical Social Worker
8901-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205366795
—
AR
Enumeration date
11/21/2014
Last updated
03/30/2026
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