| Doctor Name: | MR. DANIEL WELLIN GERSTENFIELD |
| NPI Number: | 1790881399 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, BCD, MAC |
| License Number: | 645 |
| Business Practice Address: | 1060 Daffney Road Dbh-bassett Army Community Hospital Fort Wainwright, AK - 99703 |
| Business Phone Number: | 9073616059 |
| Business Fax Number: | 9073614861 |
| Mailing Address: | 1358 Overhill Dr, FAIRBANKS |
| State: | AK |
| Postal Code: | 997096752 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |