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NPI Code Detail

MEDICARE: DR. JENNIFER JEPSON PSYD, LCSW

MEDICARE: DR. JENNIFER JEPSON PSYD, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker572AK
21041C0700XClinical Social WorkerLW00006423WA
3103TC1900XCounseling PsychologistPSY-005186AZ

General Provider Information

NPI Number : 1881145134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER JEPSON PSYD, LCSW
Provider Business Mailing Address
First Line : 821 N ST STE 102
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3285
Country : US
Telephone Number : 907-227-9097
Fax Number :
Provider Business Practice Location Address
First Line : 821 N ST STE 102
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-3285
Country : US
Telephone Number : 907-227-9097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2016
Last Update Date : 01/31/2026

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