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Providence Health & Services Washington
Community/Behavioral Health Agency in Kodiak, Alaska
NPI 1477563344

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 717 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-481-2400 and via fax at 907-481-2419. You can also correspond with Providence Health & Services Washington through the mailing address at PO BOX 3290, PORTLAND, OR - 97208-3290 (mailing address contact number: 907-486-9500).

Location: 717 E Rezanof Dr, Kodiak, AK, 97208-3290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477563344
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
717 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
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH 2237 & DA2237 05 AK
institution
Provider Business Practice Location Address Details
Address
717 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6416
Phone Number
907-481-2400
Fax Number
907-481-2419
person
Provider Business Mailing Address Details
Address
Po Box 3290
City
Portland
State
Oregon
Zip
97208-3290
Phone Number
907-486-9500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
297340 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
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.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
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.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
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.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
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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