Jacqueline Omenitsch Scurlock, LCSW is a
Social Worker - Clinical based in Soldotna, Alaska. Jacqueline Omenitsch Scurlock is licensed to practice in Alaska (license number 147557) and her current practice location is
230 E Marydale Ave, Soldotna, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 262-3119.
NPI number for Jacqueline Omenitsch Scurlock is 1477951192 and her current mailing address is Po Box 2949, Soldotna, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477951192.
Healthcare Provider's Profile
| Full Name | Jacqueline Omenitsch Scurlock |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 230 E Marydale Ave, Soldotna, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477951192
- Provider Enumeration Date: 12/11/2014
- Last Update Date: 09/24/2019
Medical Identifiers
Medical identifiers for Jacqueline Omenitsch Scurlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477951192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 18453 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 147557 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Omenitsch Scurlock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Omenitsch Scurlock, LCSW
Po Box 2949,
Soldotna, AK 99669-2949
Ph: (240) 674-3191 | Jacqueline Omenitsch Scurlock, LCSW
230 E Marydale Ave,
Soldotna, AK 99669
Ph: (907) 262-3119 |
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