MEDICARE: JAMIE ELKHILL LCSW, CDCS

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
1	1041C0700X	Clinical Social Worker	210384	AK
2	101YM0800X	Mental Health Counselor
3	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1902450646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE ELKHILL LCSW, CDCS

Provider Business Mailing Address
First Line	:	2600 CORDOVA ST STE 101
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-2745
Country	:	US
Telephone Number	:	907-279-9640
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 CORDOVA ST STE 101
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-2745
Country	:	US
Telephone Number	:	907-279-9640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	03/10/2026

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