Provider Demographics
NPI:1811026693
Name:HAUSER, PATRICIA ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANNE
Last Name:HAUSER
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 1386
Mailing Address - Street 2:
Mailing Address - City:WARD COVE
Mailing Address - State:AK
Mailing Address - Zip Code:99928-1386
Mailing Address - Country:US
Mailing Address - Phone:907-225-5858
Mailing Address - Fax:907-228-5860
Practice Address - Street 1:4079 TONGASS AVE STE 200
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5526
Practice Address - Country:US
Practice Address - Phone:907-225-5858
Practice Address - Fax:907-225-5860
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical