Active NPI
Jacqueline Danielle Arcand
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1467908103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 161210
- Practice address
- 401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168 - Phone
- (907) 770-3656
- Fax
- (907) 562-4503
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-09705 | NM | |
| Clinical Social Worker | 1041C0700X | 161210 | AK | Primary |
Addresses
Primary practice location
401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Mailing address
401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone (907) 770-3656
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 |
|---|---|---|---|
| M-09705 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1467908103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995181168",
"telephone_number": "907-770-3656",
"fax_number": "907-562-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995181168",
"telephone_number": "907-770-3656",
"fax_number": "907-562-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCAND",
"first_name": "JACQUELINE",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-09705",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "161210",
"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 Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.