NPI 1376748616 · live from the CMS NPI Registry
Alan Becker, LCSW
Social Worker, Clinical in Eagle River, AK. National Provider Identifier 1376748616, active.
NPI record
| NPI | 1376748616 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 20611 David Ave, 11723 Old Glenn Hwy, Eagle River, AK 99577 |
| Practice phone | 907-244-2102 |
| Mailing address | 20611 David Ave, Eagle River, AK 99577 |
| Enumerated | June 18, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 800 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.