NPI 1013424225

Making a Difference Support Services, LLC

Organisation Clinical Social Worker Fairbanks, AK

Practice location

Address: 1867 Airport Way STE 200, Fairbanks, AK 99701-4061
Phone: (907) 750-7169
Fax: (907) 490-4469

Authorised official

Name: Crystal Devon McCormick
Title: Owner
Phone: (907) 750-7169

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSWS1053 (AK)

Other Social Worker providers in Alaska →

Registry record

NPI: 1013424225
Entity type: Organization
NPI issued: 9 Jan 2018
Record last updated: 4 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.