Active NPI
Clell Lee Neighbors, LAC, LCSW
- Clinical Social Worker
- Jber, AK
National Provider Identifier
1053475145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSWS1020
- Practice address
- 724 Postal Service Loop Stop 7499
Jber, AK 99505-7499 - Phone
- (907) 384-3031
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-LAC-LIC-1132 | MT | |
| Clinical Social Worker | 1041C0700X | CSWS1020 | AK | Primary |
Addresses
Primary practice location
724 Postal Service Loop Stop 7499
Jber, AK 99505-7499
Mailing address
724 Postal Service Loop Stop 7499
Jber, AK 99505-7499
Phone (907) 384-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-1132 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| CSWS1020 | AK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1053475145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 POSTAL SERVICE LOOP STOP 7499",
"city": "JBER",
"state": "AK",
"postal_code": "995057499",
"telephone_number": "907-384-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 POSTAL SERVICE LOOP STOP 7499",
"city": "JBER",
"state": "AK",
"postal_code": "995057499",
"telephone_number": "907-384-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIGHBORS",
"first_name": "CLELL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LAC, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "BBH-LAC-LIC-1132",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "CSWS1020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jber, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.