Active NPI
Elaine Molchanov, LCSW
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1346355773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 82
- Practice address
- 615 E 82ND Ave
Suite 102
Anchorage, AK 99518-3153 - Phone
- (907) 344-3338
- Fax
- (907) 344-8020
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 82 | AK | Primary |
Addresses
Primary practice location
615 E 82ND Ave
Suite 102
Anchorage, AK 99518-3153
Mailing address
615 E 82ND Ave
Suite 102
Anchorage, AK 99518-3153
Phone (907) 344-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346355773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E 82ND AVE",
"address_2": "SUITE 102",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995183153",
"telephone_number": "907-344-3338",
"fax_number": "907-344-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E 82ND AVE",
"address_2": "SUITE 102",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995183153",
"telephone_number": "907-344-3338",
"fax_number": "907-344-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLCHANOV",
"first_name": "ELAINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "82",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.