Daniel Wellin Gerstenfield, LCSW, BCD, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

645 Issued in AK

Practice address

1060 Daffney Road
DBH-Bassett Army Community Hospital
Fort Wainwright, AK 99703

Phone

(907) 361-6059

Fax

(907) 361-4861

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1790881399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 OVERHILL DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 DAFFNEY ROAD",
            "address_2": "DBH-BASSETT ARMY COMMUNITY HOSPITAL",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-361-6059",
            "fax_number": "907-361-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTENFIELD",
        "first_name": "DANIEL",
        "middle_name": "WELLIN",
        "name_prefix": "Mr.",
        "credential": "LCSW, BCD, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arleene Fussalva, LCSW
• Amanda L Gagnon
• Kaitlyn E. Gamber, PA-C
• Joshua B Geiger, DNP, FNP-C
• Kimberly Ann Genkov, DNP, PMH-BC
• Vonya Gibbons, DNP, FNP-C
• Alice Fay Gibson, RN
• Chad Brian Gooderham, FNP
• Kristen Joann Goodwin, RN
• Brian Gordon

• Clinical Social Worker in Fort Wainwright, AK
• Providers in Fort Wainwright, 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 Sep 28, 2015; 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.