Provider Demographics
NPI:1629100334
Name:WERKMAN, ALAN (LCSW)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:WERKMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65300 85TH ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-8944
Mailing Address - Country:US
Mailing Address - Phone:541-815-9110
Mailing Address - Fax:458-666-1875
Practice Address - Street 1:400 SW BLUFF DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1696
Practice Address - Country:US
Practice Address - Phone:541-815-9110
Practice Address - Fax:458-666-1875
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL34031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical