Providence Health & Services Washington is a Community/Behavioral Health Agency based in Portland, AK. Providence Health & Services Washington practices in Kodiak, AK. The NPI Number for Providence Health & Services Washington is 1477563344 and holds a License No. 297340 (Alaska).
The current practice location address for Providence Health & Services Washington is 1818 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-481-2400 and via fax at 907-481-2419.
Location: 1818 E Rezanof Dr, Kodiak, AK, 97208-3290
Provider Profile Details
NPI Number
1477563344
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
1818 E Rezanof Dr, Kodiak, AK, 97208-3290
Phone Number
907-481-2400
Fax Number
907-481-2419
Provider Enumeration Date
08/09/2006
Last Update Date
06/15/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH 2237 & DA2237 | 05 | AK |
Provider Business Practice Location Address Details
Address
1818 E Rezanof Dr
City
State
Zip
99615-6505
Phone Number
907-481-2400
Fax Number
907-481-2419
Provider Business Mailing Address Details
Address
1818 E Rezanof Dr
City
State
Zip
99615-6505
Phone Number
907-481-2400
Fax Number
907-481-2419
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
297340 (Alaska)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
297340 (Alaska)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
License No.
297340 (Alaska)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
297340 (Alaska)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
297340 (Alaska)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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