Individual provider Active NPI

Dana Gordon Williams, LCSW

  • Clinical Social Worker
  • Eagle River, AK
National Provider Identifier
1487971156
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014917 Issued in IL
Practice address
8913 Eagle Place Loop
Eagle River, AK 99577-8846
Phone
(314) 520-6286
NPI assigned
Apr 21, 2010
Last updated
Jan 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014917 IL Primary

Addresses

Primary practice location

8913 Eagle Place Loop
Eagle River, AK 99577-8846

Mailing address

8913 Eagle Place Loop
Eagle River, AK 99577-8846
Phone (314) 520-6286

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
I20240220003777 AK Practitioner - Clinical Social Worker 6002250891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Solutions of Alaska LLCGroup PAC ID 6901160027, 15 clinicians

Practice addresses (Care Compare)

701 E Tudor Rd
Suite 215
Anchorage, AK 99503-7456
Phone (907) 644-8044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014917ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Solutions of Alaska LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

701 E Tudor Rd
Ste 215
Anchorage, AK 99503
Phone (907) 644-8044

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1487971156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 EAGLE PLACE LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778846",
            "telephone_number": "314-520-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8913 EAGLE PLACE LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778846",
            "telephone_number": "314-520-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANA",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.