Active NPI
Paul Gaines Jr., MSW, LICSW, M.ED.
- Clinical Social Worker
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103417
- Practice address
- 4031 San Ernesto Ave Apt 4
Anchorage, AK 99508-2829 - Phone
- (385) 309-3999
- NPI assigned
- May 10, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW121658 | MA | |
| Clinical Social Worker | 1041C0700X | ISW02768 | RI | |
| Clinical Social Worker | 1041C0700X | 103417 | AK | Primary |
Addresses
Primary practice location
4031 San Ernesto Ave Apt 4
Anchorage, AK 99508-2829
Mailing address
3721 B Street
Unit 240851
Anchorage, AK 99524-0851
Phone (401) 855-4776
Other practice location 1
PO Box 74915
Fairbanks, AK 99707-4915
Phone (401) 855-4776
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ISW02768 | Other | RI | LICSW |
| 121658 | Other | MA | LICSW |
| 103417 | Other | AK | LCSW |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3909 Arctic Blvd
Suite 101
Anchorage, AK 99503-5769
Phone (907) 770-2380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW121658 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luma Counseling | Clinical | Current | Accepting new patients |
| Thriveworks Clinical - Alaska LLC | Current | Accepting new patients | |
| Luma Counseling | Clinical | Current | Accepting new patients |
| Anchorage Bariatrics, LLC | Current | Accepting new patients |
Locations
3721 B St
Unit 240851
Anchorage, AK 99524
3909 Arctic Blvd
Ste 101
Anchorage, AK 99503
Phone (907) 272-1275
670 W Fireweed Ln
Ste 100
Anchorage, AK 99503
315 Barnette St
Unit 74915
Fairbanks, AK 99707
Organizations & group practices 4
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.
-
- Surgery Physician
- Anchorage, AK
- NPI 1174076822
-
- Clinical Social Worker
- Ester, AK
- NPI 1104621424
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
- NPI 1295452845
-
- Clinical Social Worker
- Fox, AK
- NPI 1902602733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1235575762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 B STREET",
"address_2": "UNIT 240851",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995240851",
"telephone_number": "401-855-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 SAN ERNESTO AVE APT 4",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082829",
"telephone_number": "385-309-3999"
}
],
"practiceLocations": [
{
"address_1": "PO Box 74915",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997074915",
"country_code": "US",
"telephone_number": "401-855-4776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAINES",
"first_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW, LICSW, M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-10",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "ISW121658",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02768",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "103417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "ISW02768",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "121658",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "103417",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.