Individual provider Active NPI

Paul Gaines Jr., MSW, LICSW, M.ED.

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1235575762
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103417 Issued in AK
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

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ISW02768OtherRILICSW
121658OtherMALICSW
103417OtherAKLCSW

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
I20210115001493 AK Practitioner - Clinical Social Worker 4183986268 Reassigns benefits to 3 organizations

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
Anchorage Bariatrics, LLCGroup PAC ID 0042505018, 20 clinicians

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

LicenseStateTypeSpecialty
ISW121658MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Luma Counseling Clinical CurrentSince Feb 23, 2025 Accepting new patients
Thriveworks Clinical - Alaska LLC CurrentSince Feb 27, 2025 Accepting new patients
Luma Counseling Clinical CurrentSince Feb 27, 2025 Accepting new patients
Anchorage Bariatrics, LLC CurrentSince May 15, 2025 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.

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

Verify at the official NPI Registry.