Provider Demographics
NPI:1225235245
Name:CLIENT ADVOCACY PARTNERSHIP SERVICES
Entity Type:Organization
Organization Name:CLIENT ADVOCACY PARTNERSHIP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BA PSYCHOLOGY
Authorized Official - Phone:907-398-9795
Mailing Address - Street 1:PO BOX 8206
Mailing Address - Street 2:
Mailing Address - City:NIKISKI
Mailing Address - State:AK
Mailing Address - Zip Code:99635-8206
Mailing Address - Country:US
Mailing Address - Phone:907-776-7694
Mailing Address - Fax:
Practice Address - Street 1:51739 EARL DRIVE
Practice Address - Street 2:
Practice Address - City:NIKISKI
Practice Address - State:AK
Practice Address - Zip Code:99635
Practice Address - Country:US
Practice Address - Phone:907-776-7694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Not Answered305R00000XManaged Care OrganizationsPreferred Provider Organization
Not Answered385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCM# 69522Medicaid
AKCMG# 695Medicaid
AKPCG# 965Medicaid
AKHC# 6654Medicaid