Joshua Barrett Arvidson, LCSW

Individual provider Active NPI Clinical Social Worker · Anchorage, AK

NPI 1528091428 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1528091428
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
606 (AK)
Practice address
4045 Lake Otis Pkwy Ste 103
Anchorage, AK 99508-5227
Phone
(907) 762-2817
Fax
(907) 561-7093
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
606AKMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 606 AK Yes

Addresses

Primary practice location

4045 Lake Otis Pkwy Ste 103
Anchorage, AK 99508-5227

Mailing address

18518 2ND St
Eagle River, AK 99577-8392
Phone (907) 762-2817

Other providers in Anchorage, AK

All providers in Anchorage, AK · Clinical Social Worker in Alaska

Sources for this page

Verify at the official NPI Registry.