Provider Demographics
NPI:1528181336
Name:MEISSNER, PATRICIA YVONNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:YVONNE
Last Name:MEISSNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 101038
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99510-1038
Mailing Address - Country:US
Mailing Address - Phone:907-677-1814
Mailing Address - Fax:907-677-1369
Practice Address - Street 1:725 CHRISTENSEN DR
Practice Address - Street 2:SUITE 2
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2130
Practice Address - Country:US
Practice Address - Phone:907-677-1814
Practice Address - Fax:907-677-1369
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical