NPI 1073124939 · live from the CMS NPI Registry
Alyssa Ball
Social Worker in Fairbanks, AK. National Provider Identifier 1073124939, active.
NPI record
| NPI | 1073124939 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 3100 S Cushman St, Fairbanks, AK 99701 |
| Practice phone | 907-452-6251 |
| Mailing address | 4509 Magnolia Ln Unit 4, Fort Wainwright, AK 99703 |
| Enumerated | August 13, 2020 |
| Last updated | August 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.