Individual provider · Type 1 NPI

Sam Ouellette

Clinical Social Worker · Wasilla, AK

NPI number 1104403286 Active

Practice location

300 N Willow St
Wasilla, AK 99654-7042

Call (907) 373-4357 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104403286

Sam Ouellette's National Provider Identifier is 1104403286, issued on Mar 25, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wasilla, AK. The record was last updated on Sep 29, 2026.