NPI 1881254852 · live from the CMS NPI Registry
Kathryn Andersen, LCSW,LICSW
Social Worker, Clinical in Juneau, AK. National Provider Identifier 1881254852, active.
NPI record
| NPI | 1881254852 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 9233 Gee St, Juneau, AK 99801 |
| Practice phone | 509-387-1790 |
| Enumerated | June 20, 2019 |
| Last updated | January 8, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LW61102784 (WA) |
| Social Worker, Clinical | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.