Individual provider Active NPI

Lee E. Cage, LCSW

  • Clinical Social Worker
  • Eagle River, AK
National Provider Identifier
1720163660
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6 Issued in AK
Practice address
13135 Old Glenn Hwy
Suite 102
Eagle River, AK 99577-7562
Phone
(907) 696-1212
Fax
(907) 696-1212
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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 6 AK Primary

Addresses

Primary practice location

13135 Old Glenn Hwy
Suite 102
Eagle River, AK 99577-7562

Mailing address

17325 Toakoana Dr
Eagle River, AK 99577-8510
Phone (907) 696-1212

Other identifiers 1

IdentifierTypeStateIssuer
6OtherAKAK STATE LICENSE #

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
I20120502000257 AK Practitioner - Clinical Social Worker 3274795521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Health Associates Current Accepting new patients
Christian Health Associates CurrentSince Feb 10, 1999 Accepting new patients
Christian Health Associates CurrentSince Feb 10, 1999 Accepting new patients

Locations

2121 Abbott Rd
Ste 202
Anchorage, AK 99507
Phone (907) 522-7090

1825 Academy Dr
Anchorage, AK 99507
Phone (907) 522-7080

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1720163660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 TOAKOANA DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778510",
            "telephone_number": "907-696-1212",
            "fax_number": "907-696-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 OLD GLENN HWY",
            "address_2": "SUITE 102",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777562",
            "telephone_number": "907-696-1212",
            "fax_number": "907-696-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGE",
        "first_name": "LEE",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK STATE LICENSE #",
            "identifier": "6",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.