Healthcare Provider Details

I. General information

NPI: 1669184321
Provider Name (Legal Business Name): MARGARET VAN HUYSTEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET HERBERT

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 C ST STE 102
ANCHORAGE AK
99503-3975
US

IV. Provider business mailing address

7033 E TUDOR RD
ANCHORAGE AK
99507-1262
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-8558
  • Fax:
Mailing address:
  • Phone: 907-729-8901
  • Fax: 907-729-5180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number218653
License Number StateAK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: