City of Ketchikan-Gateway Center for Human Services
Organization Active NPI Clinical Social Worker · Ketchikan, AK
NPI 1467445296 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1467445296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES
- Practice address
- 3050 5TH Ave
Ketchikan, AK 99901-5773 - Phone
- (907) 225-4135
- Fax
- (907) 247-4135
- NPI assigned
- Aug 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Karl Amylon
- Title
- City Manager
- Phone
- (907) 225-3111
National Provider Directory
Locations
3050 Fifth Ave
Ketchikan, AK 99901
Phone (907) 225-4135
3352 Tongass Ave
Ketchikan, AK 99901
Phone (907) 247-9617
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | AK | ||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | AK | ||
| Mental Health Counselor |
101YM0800X | AK | ||
| Professional Counselor |
101YP2500X | AK | ||
| Clinical Psychologist |
103TC0700X | AK | ||
| Clinical Social Worker |
1041C0700X | AK | Yes |
Addresses
Primary practice location
3050 5TH Ave
Ketchikan, AK 99901-5773
Mailing address
3050 5TH Ave
Ketchikan, AK 99901-5773
Phone (907) 225-4135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA7113 | Medicaid | AK | |
| DA4438 | Medicaid | AK | |
| MH0133 | Medicaid | AK |
Other providers in Ketchikan, AK
- Pamela P Christianson
- Ariel Elizabeth Christopher
- Anthonny Ramiero Chulik
- Elysse Cillay
- City of Ketchikan
- Jessica Clark
- Kevin James Clevenger
- Joleyn Cobbs
- Cecilie Dawn Cody
- Erin Coffey
All providers in Ketchikan, 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 Sep 11, 2025. 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.