Individual provider Active NPI

Kelley McCall Huse

  • Clinical Social Worker
  • Juneau, AK
National Provider Identifier
1760610802
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
AA811 Issued in AK
Practice address
9700 N Douglas Hwy
Juneau, AK 99801-7663
Phone
(907) 209-0900
NPI assigned
Jun 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 811 AK
Clinical Social Worker 1041C0700X AA811 AK Primary

Addresses

Primary practice location

9700 N Douglas Hwy
Juneau, AK 99801-7663

Mailing address

9700 N Douglas Hwy
Juneau, AK 99801-7663
Phone (907) 209-0900

Other names 1

  • Kelley McCall Huse Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000617 AK Practitioner - Clinical Social Worker 2961660360 Practice locations: Juneau, AK

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

419 6TH St
Suite 334
Juneau, AK 99801-1072
Phone (907) 523-9075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AA811AKMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1760610802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N DOUGLAS HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017663",
            "telephone_number": "907-209-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N DOUGLAS HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017663",
            "telephone_number": "907-209-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSE",
        "first_name": "KELLEY",
        "middle_name": "MCCALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "811",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "AA811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "HUSE",
            "middle_name": "MCCALL",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.