Provider Demographics
NPI:1326376179
Name:CUTLER, LORRAINE MELANIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:MELANIE
Last Name:CUTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LORRAINE
Other - Middle Name:MELANIE
Other - Last Name:JAEGER-KIRSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1363 W SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-5327
Mailing Address - Country:US
Mailing Address - Phone:073-762-4119
Mailing Address - Fax:073-352-3363
Practice Address - Street 1:1363 W SPRUCE AVE
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-5327
Practice Address - Country:US
Practice Address - Phone:907-376-2411
Practice Address - Fax:907-352-3363
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3441041C0700X
AK8441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical