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NPI Code Detail

MEDICARE: JESSICA VARN LCSW

MEDICARE: JESSICA VARN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker210206AK

General Provider Information

NPI Number : 1457946261
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA VARN LCSW
Provider Business Mailing Address
First Line : 1825 MARIKA RD
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-5521
Country : US
Telephone Number : 907-474-0890
Fax Number :
Provider Business Practice Location Address
First Line : 1825 MARIKA RD
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-5521
Country : US
Telephone Number : 907-474-0890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2021
Last Update Date : 02/19/2026

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Directions to “ JESSICA VARN LCSW” Practice Location

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