NPI 1417645706 · live from the CMS NPI Registry
Ellen Andrews, LCSW
Social Worker, Clinical in Juneau, AK. National Provider Identifier 1417645706, active.
NPI record
| NPI | 1417645706 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3410 Glacier Hwy, Juneau, AK 99801 |
| Practice phone | 907-586-6623 |
| Mailing address | Po Box 20809, Juneau, AK 99802 |
| Enumerated | April 26, 2023 |
| Last updated | April 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 196007 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.