Tashia M. Amstislavski, MA, LMSW
Individual provider Active NPI Clinical Social Worker · Anchorage, AK
NPI 1841546207 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1841546207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 109348 (AK)
- Practice address
- 4141 B St Ste 301
Anchorage, AK 99503-5941 - Phone
- (907) 331-3163
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4141 B St
Suite 301
Anchorage, AK 99503-5941
Phone (907) 331-3163
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170927002198 | AK | Practitioner - Clinical Social Worker | 7810261005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109348 | AK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Neighborhood Services, Inc. | Past | Accepting new patients | |
| Catholic Charities Neigborhood Services | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 109348 | AK | Yes |
Addresses
Primary practice location
4141 B St Ste 301
Anchorage, AK 99503-5941
Mailing address
PO Box 141421
Anchorage, AK 99514-1421
Other practice location 1
6729 Myrtle Ave
Glendale, NY 11385-7063
Phone (718) 456-7001
Other providers in Anchorage, AK
- Momoi Amotai
- Joey Amperosa
- David Nana Ampong
- Salsabil B Amri
- Jennifer R Amstadter
- Linda A Amundson
- Amy'S Speech Shop L.L.C
- Lisa An
- Sage An
- Colleen D Anagick
All providers in Anchorage, AK · Clinical Social Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.