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Provider Information for 1023387305


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Mrs. SARAH ELIZABETH ANDERSON M.S.W.


Sex: Female

NPI: 1023387305
Last Updated: 2024-09-04
Certification Date: 2024-09-04

Details

NameValue
NPI1023387305
Enumeration Date2011-12-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 306 WEST 5TH AVENUE
P.O. BOX 966
NOME, AK 99762
United States

Phone: 907-443-4525 | Fax:907-443-2085
 
Primary Practice Address 306 WEST 5TH AVE.
NOME, AK 99762
United States

Phone: 907-443-4525 | Fax:907-443-2085
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker MI6801093207
Yes 1041C0700X - Social Worker - ClinicalAZLCSW-17735