Individual provider Active NPI

Tiara Danin McDougal, MSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1043948276
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
228807 Issued in AK
Practice address
3000 C St Ste 102
Anchorage, AK 99503-3975
Phone
(907) 729-8558
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 228807 AK Primary
Social Worker 104100000X

Addresses

Primary practice location

3000 C St Ste 102
Anchorage, AK 99503-3975

Mailing address

3000 C St Ste 102
Anchorage, AK 99503-3975
Phone (907) 729-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203000157 TX Practitioner - Clinical Social Worker 8628561230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7033 E Tudor Rd
Anchorage, AK 99507-1262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
228807AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation CurrentSince Sep 4, 2025 Accepting new patients
Southcentral Foundation CurrentSince Sep 5, 2023 Accepting new patients
Southcentral Foundation CurrentSince Sep 4, 2025 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation PastSince Aug 28, 2022 Accepting new patients

Locations

400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4200

3000 C St
Ste 102
Anchorage, AK 99503
Phone (907) 729-8558

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1043948276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 C ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033975",
            "telephone_number": "907-729-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 C ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033975",
            "telephone_number": "907-729-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "TIARA",
        "middle_name": "DANIN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "228807",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.