Fridrik Rafn Gudmundsson, LCSW | |
508 Upland St, Kenai, AK 99611-8026 | |
(907) 335-7500 | |
(888) 491-3243 |
Full Name | Fridrik Rafn Gudmundsson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 508 Upland St, Kenai, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831531037 | NPI | - | NPPES |
1714791 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1252 (Alaska) | Primary |
Entity Name | Kenaitze Indian Tribe |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932114600 PECOS PAC ID: 4082506225 Enrollment ID: O20040325000198 |
Mailing Address | Practice Location Address |
---|---|
Fridrik Rafn Gudmundsson, LCSW 48350 Lakeside Ave, Soldotna, AK 99669-9125 Ph: (907) 406-0509 | Fridrik Rafn Gudmundsson, LCSW 508 Upland St, Kenai, AK 99611-8026 Ph: (907) 335-7500 |
Michael J Wolfe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 N Willow St, Kenai, AK 99611 Phone: 907-283-6693 Fax: 907-283-7088 | |
Leah Williamson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 609 Marine Ave, Kenai, AK 99611 Phone: 076-001-6849 Fax: 907-308-5882 | |
Teresa Ford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7330 | |
Ms. Erys Katherine Tea, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Fidalgo Avenue, Suite 204 C, Kenai, AK 99611 Phone: 907-283-6551 Fax: 907-283-6553 | |
Kimberly Ann Haviland, LCSW, CDCI, ADMIN. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11312 Kenai Spur Hwy, Suite 39, Kenai, AK 99611 Phone: 907-395-4106 Fax: 907-283-4236 | |
Mrs. Terrya Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 S Spruce St, Kenai, AK 99611 Phone: 907-283-7635 Fax: 907-283-9575 |