Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Paulette Gannon, LMSW

Individual provider Social Worker · NPI 1285234419

Amanda Paulette Gannon, LMSW is a Social Worker in Ketchikan, Alaska. Licensed in Alaska. Registered with an NPI since 2020.

Licensed in
AK
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

344 Frnt ST Ste A
Ketchikan, AK 99901-6431
Phone: (572) 999-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 215055 (AK)
Social Worker Taxonomy 104100000X · Licence 215055 (AK)

Record details

NPI number1285234419
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

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