NPIMap

Valerie M Gifford, LCSW

Individual provider Active NPI Clinical Social Worker · Fairbanks, AK

NPI 1972859932 · NPPES record last updated Apr 18, 2022

Key facts

NPI
1972859932
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1125 (AK)
Practice address
3504 Industrial Ave RM 201
Fairbanks, AK 99701-7390
Phone
(907) 328-2944
Fax
(907) 328-2944
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PSYP679AKMDClinical Psychologist
1125AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Continuing Hope Counseling, LLC Clinical Past
since Apr 6, 2021		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSYP679 AK
Clinical Social Worker 1041C0700X 1125 AK Yes

Addresses

Primary practice location

3504 Industrial Ave RM 201
Fairbanks, AK 99701-7390

Mailing address

PO Box 750114
Fairbanks, AK 99775-0114
Phone (907) 328-2944

Other practice location 1

530 7th Ave
Fairbanks, AK 99701-4971
Phone (907) 451-8208

Other providers in Fairbanks, AK

All providers in Fairbanks, AK · Clinical Social Worker in Alaska

Sources for this page

Verify at the official NPI Registry.