Individual provider · Type 1 NPI

Natasha Nicole Roush

Clinical Social Worker · Eagle River, AK

NPI number 1639372097 Active

Practice location

17105 Park Place St
Eagle River, AK 99577-7821

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	1336 (AK)
Social Worker	104100000X	AP00941482 (WV)

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 1639372097

Natasha Nicole Roush's National Provider Identifier is 1639372097, issued on Jun 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagle River, AK. The record was last updated on Oct 21, 2026.