Gary Rae Little Jr., LICSW
Individual provider Active NPI Social Worker · Fairchild Air Force Base, WA
NPI 1275840795 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1275840795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LW60853220 (WA)
- Practice address
- 701 Hospital Loop Ste 276
Fairchild Air Force Base, WA 99011-8704 - Phone
- (509) 247-2687
- NPI assigned
- Sep 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60853220 | WA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60853220 | WA | Yes |
Addresses
Primary practice location
701 Hospital Loop Ste 276
Fairchild Air Force Base, WA 99011-8704
Mailing address
1621 E 36TH Ave
Spokane, WA 99203-4039
Phone (208) 412-2111
Other providers in Fairchild Air Force Base, WA
- Paula Michelle Clark
- Swapna Dutta
- Devilyn Hindman
- Alyson L Kresser
- Danielle Maronick
- Holly Meginniss
- Sayf R Munir
- Joshua Karstan Pattee
- Mai Lien Pham
All providers in Fairchild Air Force Base, WA · Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.