Provider Demographics
NPI:1972727733
Name:TINCHER, CLIFFORD AWYN (MSW)
Entity type:Individual
Prefix:MR
First Name:CLIFFORD
Middle Name:AWYN
Last Name:TINCHER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 WOLFF DR
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9742
Mailing Address - Country:US
Mailing Address - Phone:907-747-0526
Mailing Address - Fax:907-966-8319
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-8319
Practice Address - Fax:907-966-8698
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK8EC374Medicare PIN
AK8EC375Medicare PIN
AK8EC372Medicare PIN
AK8EC373Medicare PIN
AK8EC371Medicare PIN