Individual provider Active NPI

Margaret Victoria Gallin

  • Clinical Social Worker
  • Sitka, AK
National Provider Identifier
1730583303
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1289 Issued in AK
Practice address
222 Tongass Dr
Sitka, AK 99835
Phone
(907) 966-2411
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 1289 AK Primary

Addresses

Primary practice location

222 Tongass Dr
Sitka, AK 99835

Mailing address

3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-4074

Other practice location 1

113 Metlakatla St
Sitka, AK 99835-7666
Phone (907) 747-1417

Other practice location 2

113 Metlakatla St
Sitka, AK 99835-7666
Phone (907) 747-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141210001210 TX Practitioner - Clinical Social Worker 4981926565 Reassigns benefits to 1 organization
I20230627003432 AK Practitioner - Clinical Social Worker 4981926565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

901 Halibut Point Rd
Suite E
Sitka, AK 99835-7106
Phone (907) 416-5478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1289AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 8, 2014 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Juniper Psychotherapy LLC Clinical CurrentSince Jun 27, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 8, 2014 Accepting new patients
Sitka Counseling & Prevention Services, Inc. PastSince Mar 22, 2020 Accepting new patients
Sitka Counseling & Prevention Services, Inc. Counselor PastSince May 21, 2018 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

901 Halibut Point Rd
Ste E
Sitka, AK 99835
Phone (907) 416-5478

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1730583303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR STE 300",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017837",
            "telephone_number": "907-463-4074",
            "fax_number": "907-463-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TONGASS DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "99835",
            "telephone_number": "907-966-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Metlakatla St",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998357666",
            "country_code": "US",
            "telephone_number": "907-747-1417",
            "fax_number": "907-747-2702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Metlakatla St",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998357666",
            "country_code": "US",
            "telephone_number": "907-747-1417",
            "fax_number": "907-747-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIN",
        "first_name": "MARGARET",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

Verify at the official NPI Registry.