Alan Becker, LCSW
Individual provider Active NPI Clinical Social Worker · Eagle River, AK
NPI 1376748616 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376748616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 800 (AK)
- Practice address
- 20611 David Ave
11723 Old Glenn Hwy
Eagle River, AK 99577-8756 - Phone
- (907) 244-2102
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 800 | AK | Yes |
Addresses
Primary practice location
20611 David Ave
11723 Old Glenn Hwy
Eagle River, AK 99577-8756
Mailing address
20611 David Ave
Eagle River, AK 99577
Phone (907) 244-2102
Other providers in Eagle River, AK
- Kimberly Ruth Bartels
- Darlene K Batchelder
- Alexis N Bauer
- Paul Baysinger
- Stephanie Erin Beck
- Behavior Matters LLC
- Jennifer Bell Ruiz
- Jennifer Benton
- James Benzschawel
- Elisa Renee Betson
All providers in Eagle River, AK · Clinical Social Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.