Healthcare Provider Details

I. General information

NPI: 1326407479
Provider Name (Legal Business Name): DANA WEBSTER-SMITH LCSW, LPCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 DIPLOMACY DR
ANCHORAGE AK
99508-5926
US

IV. Provider business mailing address

4155 TUDOR CENTRE DR STE 103
ANCHORAGE AK
99508-5912
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-6615
  • Fax: 907-729-3349
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number122866
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number100984
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: