Healthcare Provider Details

I. General information

NPI: 1770418840
Provider Name (Legal Business Name): ALANA HAM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W ROCK VIEW RD
PHOENIX AZ
85085-4005
US

IV. Provider business mailing address

17151 W OBERLIN WAY
SURPRISE AZ
85387-1216
US

V. Phone/Fax

Practice location:
  • Phone: 307-797-6308
  • Fax:
Mailing address:
  • Phone: 307-797-6308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-20817
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: