Healthcare Provider Details

I. General information

NPI: 1952492720
Provider Name (Legal Business Name): BRUCE AARON LINQUIST LCSW, CADAC, CDCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5272 CAPE SEVILLE DR
ANCHORAGE AK
99516-7525
US

IV. Provider business mailing address

5272 CAPE SEVILLE DR
ANCHORAGE AK
99516-7525
US

V. Phone/Fax

Practice location:
  • Phone: 907-531-2560
  • Fax: 907-531-2561
Mailing address:
  • Phone: 907-717-3713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSWS910
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1809
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCSWS910
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: