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

Q: 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.

Q: What is Glen Fazakerley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glen Fazakerley was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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.

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