Individual provider Active NPI

Maliko Ubl, MSW

  • Clinical Social Worker
  • Fairbanks, AK
National Provider Identifier
1730786013
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
222791 Issued in AK
Practice address
534 10TH Ave
Fairbanks, AK 99701-4903
Phone
(907) 451-8208
Fax
(907) 451-8207
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 222791 AK Primary

Addresses

Primary practice location

534 10TH Ave
Fairbanks, AK 99701-4903

Mailing address

3875 Geist Road Ste E #488
Fairbanks, AK 99709
Phone (907) 328-8347

Other practice location 1

926 Aspen St
Fairbanks, AK 99709-5501
Phone (907) 371-1300 ext. 311

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
I20250115000823 AK Practitioner - Clinical Social Worker 9537697842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 Cushman St
Suite 3H
Fairbanks, AK 99701-4665
Phone (907) 328-8347

3875 Geist Rd
Suite E
Fairbanks, AK 99709-3564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucky Cat Counseling and Consulting Clinical CurrentSince Dec 21, 2024 Accepting new patients

Locations

250 Cushman St
Ste 3H
Fairbanks, AK 99701
Phone (907) 322-6602

3875 Geist Rd
Ste E
Fairbanks, AK 99709
Phone (907) 331-0234

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1730786013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 GEIST ROAD STE E #488",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99709",
            "telephone_number": "907-328-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 10TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014903",
            "telephone_number": "907-451-8208",
            "fax_number": "907-451-8207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Aspen St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997095501",
            "country_code": "US",
            "telephone_number": "907-371-1300 x311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBL",
        "first_name": "MALIKO",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "222791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.