Sean Fred Tomkinson, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

957 Issued in AK

Practice address

6345 G Street, Klawock
Klawock, AK 99925-9992

Phone

(907) 821-8092

NPI assigned

Aug 17, 2010

Last updated

Nov 8, 2019By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1366757197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "999250244",
            "telephone_number": "907-821-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 G STREET, KLAWOCK",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "999259992",
            "telephone_number": "907-821-8092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Deermount St",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999016649",
            "country_code": "US",
            "telephone_number": "907-225-7825 x304",
            "fax_number": "907-225-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMKINSON",
        "first_name": "SEAN",
        "middle_name": "FRED",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH3260",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvin J. Stickwan, RN
• Keilani Lorrainne Stockton
• Julie Ann Sturtevant, R.N.
• Jennie Taylor, APRN, PMHNP-BC
• Di Ann Thain, RDH
• Shalynn Tomkinson
• Carrie Urena, PHARMD, BCPS
• Daniella M Vasquez, RN
• Daniel Cline Weaver, PT, RN
• Trina Lee Williamson, LPC

• Professional Counselor in Klawock, AK
• Providers in Klawock, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.