Active NPI
Sally Louise Kneeland, MSW LCSW
- Social Worker
- Anchorage, AK
National Provider Identifier
1831200484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72
- Practice address
- 2925 Debarr Rd # VA
RM 2600
Anchorage, AK 99508-2983 - Phone
- (907) 257-4854
- Fax
- (907) 257-6747
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72 | AK | Primary |
Addresses
Primary practice location
2925 Debarr Rd # VA
RM 2600
Anchorage, AK 99508-2983
Mailing address
2925 Debarr Rd. S&BHS
RM 2600
Anchorage, AK 99508
Phone (907) 257-4854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72 | AK | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Community Mental Health Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1326268301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1831200484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 DEBARR RD. S&BHS",
"address_2": "RM 2600",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-257-4854",
"fax_number": "907-257-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 DEBARR RD # VA",
"address_2": "RM 2600",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082983",
"telephone_number": "907-257-4854",
"fax_number": "907-257-6747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEELAND",
"first_name": "SALLY",
"middle_name": "LOUISE",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "72",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.