Healthcare Provider Details

I. General information

NPI: 1437904703
Provider Name (Legal Business Name): REED ALFRED BEELEY MSW, LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 E INTERNATIONAL AIRPORT RD STE 100
ANCHORAGE AK
99518-1409
US

IV. Provider business mailing address

1205 E INTERNATIONAL AIRPORT RD STE 100
ANCHORAGE AK
99518-1409
US

V. Phone/Fax

Practice location:
  • Phone: 907-570-6382
  • Fax: 888-972-3679
Mailing address:
  • Phone: 907-570-6382
  • Fax: 888-972-3679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number242372
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: