Kirsten Sundeen, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1157241 Issued in AK

Practice address

733 2ND Avenue
Kotzebue, AK 99754

Phone

(907) 442-7640

Fax

(907) 442-7749

NPI assigned

Dec 29, 2008

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1932345758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520256",
            "telephone_number": "907-442-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 2ND AVENUE",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99754",
            "telephone_number": "907-442-7640",
            "fax_number": "907-442-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDEEN",
        "first_name": "KIRSTEN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13060",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1157241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy R Stoner
• Mark Conrad Stover, MD
• Erica Louise Strandlie
• Amelia Stutman
• Daniel L Su, MD
• Ida Swan
• Joseph Swan III
• Sherry Swan
• Blanche Myrtle Swanson
• Bree Swanson

• Clinical Social Worker in Kotzebue, AK
• Providers in Kotzebue, 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 Jun 25, 2020; 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.