Provider Demographics
NPI:1497348759
Name:ELIZABETH S. WATNEY, LCSW
Entity Type:Organization
Organization Name:ELIZABETH S. WATNEY, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:WATNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:907-235-5509
Mailing Address - Street 1:PO BOX 511
Mailing Address - Street 2:
Mailing Address - City:ANCHOR POINT
Mailing Address - State:AK
Mailing Address - Zip Code:99556-0511
Mailing Address - Country:US
Mailing Address - Phone:907-235-5509
Mailing Address - Fax:
Practice Address - Street 1:31463 STERLING HWY
Practice Address - Street 2:
Practice Address - City:ANCHOR POINT
Practice Address - State:AK
Practice Address - Zip Code:99556-0000
Practice Address - Country:US
Practice Address - Phone:907-265-5509
Practice Address - Fax:907-235-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty