Shayle M LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHAYLE M LCSW LLC

Practice address

600 University Ave Ste 110
Fairbanks, AK 99709-3651

Phone

(907) 374-1328

NPI assigned

Nov 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shayle Hutchison, LCSW

Title

Owner

Phone

(907) 374-1328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1538637475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70672",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997070672",
            "telephone_number": "907-374-1328",
            "fax_number": "907-374-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY AVE STE 110",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093651",
            "telephone_number": "907-374-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYLE M LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "SHAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-374-1328",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcey Rae Sharp
• David Scott Sharp, M.D.
• Heather Mae Sharp
• Nicole Elizabeth Sharpe
• William Shaver
• Caroline Rose Shea, DPT
• Nikki Lee Shelton
• Robyn Feder Shepard Shepard, PTA
• Richard Joseph Sheridan Jr., M.D.
• Victoria E Sherwood

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.