Individual
ROXANNE PRUITT-KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
4060 602ND ST, BACH, FORT WAINWRIGHT, AK 99703
(073) 617-2039
Mailing address
BLDG 4060 602ND ST, FORT WAINWRIGHT, AK 99703
(907) 361-0229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C011676
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32055
LICSW
MN
01
—
C011676
LCSW
NC
Enumeration date
09/08/2018
Last updated
09/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us