Tashia Amstislavski, Ma, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1043095 Issued in AK

Legal business name

TASHIA AMSTISLAVSKI, MA, LCSW, LLC

Practice address

4141 B Street
Suite 301
Anchorage, AK 99503

Phone

(907) 331-3163

Fax

(844) 331-5990

NPI assigned

Oct 14, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tashia Amstislavski, MA, LCSWNPI 1841546207

Title

Owner

Phone

(907) 331-3163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tashia M. Amstislavski, MA, LMSW

  • Clinical Social Worker
  • Anchorage, AK
  • NPI 1841546207
  Medicare reassignment Authorized official
• Deborah Marie Gonzales, LCSW

  • Clinical Social Worker
  • Eagle River, AK
  • NPI 1689667024
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316497340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141421",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99514",
            "telephone_number": "927-331-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 B STREET",
            "address_2": "SUITE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-331-3163",
            "fax_number": "844-331-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASHIA AMSTISLAVSKI, MA, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMSTISLAVSKI",
        "authorized_official_first_name": "TASHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-331-3163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "1043095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne L Tarrant, FNP
• M Jacqueline Tarsitano, M.D.
• Ashley Wray Tarver, PHARMD
• Skylar Tarwater
• Lyn Alison Tashea, LPC
• Tasi Alh
• Stephanie Tasker, MHS
• Isabella Lynn Tate, OTD, OTR/L
• Theodore Lole Taua
• Litara C Taualii

• Community/Behavioral Health Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.