Making a Difference Support Services, LLC
Clinical Social Worker · Fairbanks, AK
Practice location
1867 Airport Way Ste 200Fairbanks, AK 99701-4061
- Phone
- (907) 750-7169
- Fax
- (907) 490-4469
NPI record
- NPI
- 1013424225
- Entity type
- Organization (Type 2)
- Enumeration date
- January 9, 2018
- Last updated
- April 4, 2018
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
CSWS1053 | AK |
Authorized official
- Name
- Crystal Devon McCormick
- Title
- Owner
- Phone
- (907) 750-7169
About Making a Difference Support Services, LLC
Making a Difference Support Services, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1867 Airport Way Ste 200, Fairbanks, AK 99701-4061. The NPI number 1013424225 was assigned on January 9, 2018 and the record was last updated on April 4, 2018.
Making a Difference Support Services, LLC lists a license in the registry: #CSWS1053 (AK) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Crystal Devon McCormick, Owner.
Frequently asked questions
What is the NPI number of Making a Difference Support Services, LLC?
The NPI number is 1013424225.
What is the phone number of Making a Difference Support Services, LLC?
The phone number listed for the practice location is (907) 750-7169.
Where is Making a Difference Support Services, LLC located?
1867 Airport Way Ste 200, Fairbanks, AK 99701-4061.
What is the taxonomy code for Making a Difference Support Services, LLC?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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