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GLEN A FAZAKERLEY CDCI
NPI 1306142781
Case Manager/Care Coordinator in Ketchikan, AK

Active since February 02, 2011
201 DEERMOUNT ST, KETCHIKAN, AK 99901(907) 225-7825(907) 225-1541 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glen A Fazakerley Cdci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN A FAZAKERLEY CDCI (NPI 1306142781) is an individual case manager/care coordinator provider in Ketchikan, Alaska and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1306142781
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameGLEN A FAZAKERLEYCredential: CDCI
Location Address201 DEERMOUNT STKetchikan, AK 99901-6649
Mailing Address201 Deermount StKetchikan, AK 99901-6649 · (907) 225-7825 · Fax (907) 225-1541
Phone(907) 225-7825
Fax(907) 225-1541
Sole ProprietorNo
Enumeration DateFebruary 2, 2011
Last NPPES UpdateJuly 12, 2011
✔ NPI 1306142781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

201 DEERMOUNT ST, Ketchikan, AK 99901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNNLEE L MITCHELL
Community Health Worker
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-9589
SANDRA ROSE KING
Case Manager/Care Coordinator
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-7825
HILARY ROBBINS
Case Manager/Care Coordinator
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-7825
MR. MICHAEL JAMES MAKI II
Community Health Worker
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
ANTHONNY RAMIERO CHULIK
Behavior Technician
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-9203
LISA C NOLAND
Case Manager/Care Coordinator
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-7825
TAMMY JEAN HERT
Behavior Technician
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-9506
JAN JORGENSEN
Case Manager/Care Coordinator
201 DEERMOUNT ST
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-7825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Fazakerley's NPI number?

The NPI number for Glen Fazakerley is 1306142781. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Glen Fazakerley located?

Glen Fazakerley practices at 201 Deermount St, Ketchikan, AK 99901. The listed phone number is (907) 225-7825.

What is Glen Fazakerley's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Glen Fazakerley was last updated on July 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.