Healthcare Provider Details

I. General information

NPI: 1497348759
Provider Name (Legal Business Name): ELIZABETH S. WATNEY, LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31463 STERLING HWY
ANCHOR POINT AK
99556-0000
US

IV. Provider business mailing address

PO BOX 511
ANCHOR POINT AK
99556-0511
US

V. Phone/Fax

Practice location:
  • Phone: 907-265-5509
  • Fax: 907-235-9169
Mailing address:
  • Phone: 907-235-5509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH S WATNEY
Title or Position: OWNER
Credential: LCSW
Phone: 907-235-5509