Individual provider Active NPI

Eli Michael, LCSW, CDC1

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1073009379
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
172440 Issued in AK
Practice address
821 N St Ste 102
Anchorage, AK 99501-3285
Phone
(907) 268-4234
Fax
(877) 907-0952
NPI assigned
Jul 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AK
Addiction (Substance Use Disorder) Counselor 101YA0400X 4582 AK
Clinical Social Worker 1041C0700X 172440 AK Primary

Addresses

Primary practice location

821 N St Ste 102
Anchorage, AK 99501-3285

Mailing address

3300 Arctic Blvd
Ste 201 PMB 1043
Anchorage, AK 99503-4579
Phone (907) 268-4234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20211201001469 AK Practitioner - Clinical Social Worker 6901296250 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4582AKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Within, LLC Addiction (Substance Use Disorder) CurrentSince Nov 29, 2022 Accepting new patients

Locations

3300 Artic Blvd
Ste 201
Anchorage, AK 99503
Phone (907) 268-4234

821 N St
Ste 102
Anchorage, AK 99501
Phone (253) 844-4327

Organizations & group practices 1

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1073009379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ARCTIC BLVD",
            "address_2": "STE 201 PMB 1043",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034579",
            "telephone_number": "907-268-4234",
            "fax_number": "877-907-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013285",
            "telephone_number": "907-268-4234",
            "fax_number": "877-907-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "ELI",
        "name_prefix": "Mr.",
        "credential": "LCSW, CDC1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "4582",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "172440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.