Individual provider Active NPI

Marianne Kristiansen, LCSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1992350235
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
198604 Issued in AK
Practice address
4230 University Dr Ste 310
Anchorage, AK 99508-4650
Phone
(907) 729-2492
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 198604 AK Primary

Addresses

Primary practice location

4230 University Dr Ste 310
Anchorage, AK 99508-4650

Mailing address

4230 University Dr Ste 310
Anchorage, AK 99508-4650
Phone (907) 729-2492

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

LicenseStateTypeSpecialty
198604AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium PastSince Feb 9, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1992350235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 UNIVERSITY DR STE 310",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084650",
            "telephone_number": "907-729-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 UNIVERSITY DR STE 310",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084650",
            "telephone_number": "907-729-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTIANSEN",
        "first_name": "MARIANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "198604",
            "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 Feb 3, 2025; 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.