Individual provider Active NPI

Clair Sportsman, LCSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1548991979
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
225721 Issued in AK
Practice address
205 E Benson Blvd # 527
Anchorage, AK 99503-4019
Phone
(907) 921-7380
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 225721 AK Primary

Addresses

Primary practice location

205 E Benson Blvd # 527
Anchorage, AK 99503-4019

Mailing address

PO Box 7237
Surprise, AZ 85374-0103
Phone (907) 921-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260115001870 AK Practitioner - Clinical Social Worker 6002392453 Practice locations: Anchorage, AK
I20260115002558 AZ Practitioner - Clinical Social Worker 6002392453 Practice locations: Surprise, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Surprise, AZ 85388
Phone (907) 921-7380

Anchorage, AK 99503
Phone (907) 921-7380

609 Main St
Warsaw, OH 43844-3500

PO Box
Suite 7237
Surprise, AZ 85374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225721AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tea Time Therapy LLC Clinical CurrentSince Mar 11, 2025 Accepting new patients

Locations

205 E Benson Blvd
Anchorage, AK 99503
Phone (907) 227-7246

205 E Benson Blvd
#527
Anchorage, AK 99503
Phone (907) 921-7380

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1548991979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7237",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740103",
            "telephone_number": "907-921-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E BENSON BLVD # 527",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034019",
            "telephone_number": "907-921-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORTSMAN",
        "first_name": "CLAIR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "225721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.