Andra Dawn Woodard, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105894 Issued in AK

Practice address

10599 Fox Cir
Seward, AK 99664

Phone

(907) 491-1581

Fax

(360) 868-1461

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andra Dawn Kline Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resolute Care Services LLC

  • Case Management Agency
  • Seward, AK
  • NPI 1083280572
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1013403708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2076",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996642076",
            "telephone_number": "907-224-5850",
            "fax_number": "360-868-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10599 FOX CIR",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "99664",
            "telephone_number": "907-491-1581",
            "fax_number": "360-868-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "ANDRA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "105894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA STATE LICENSE",
            "identifier": "105894",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awoodard@sewardhealthcenter.org",
            "affiliation": "N",
            "endpointDescription": "Clinic E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "417 1st Avenue",
            "city": "Seward",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996642895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@rcs.directak.net",
            "affiliation": "N",
            "endpointDescription": "healtheconnect",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10599 Fox Cir",
            "city": "Seward",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDRA",
            "last_name": "KLINE",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christie Brianna Wisel, MSTOM, DAOM
• Jeffrey S Wolf
• Kelsey Ann Wolford
• Vance Mitchell Wolford Sr., N/A
• Penelope Rose Wood, ASSOCIATE COUNSELOR
• Ann Wright, RN
• Brian Wright
• Angela Zetooney
• Steven Hanzlik Zilberg

• Social Worker in Seward, AK
• Providers in Seward, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.