Active NPI
Christopher D. Wightman, LCSW
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1740337864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSWS1092
- Practice address
- 4320 Diplomacy Dr
Anchorage, AK 99508-5925 - Phone
- (907) 729-3300
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSWS1092 | AK | Primary |
Addresses
Primary practice location
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-9989
Other practice location 1
4155 Tudor Centre Dr
Suite 103
Anchorage, AK 99508-5902
Phone (907) 729-8624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSWS1092 | AK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Locations
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4200
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
- Multi-Specialty Clinic/Center
- McGrath, AK
- NPI 1063467223
-
- Community/Behavioral Health Agency
- Nondalton, AK
- NPI 1639772882
-
- Community Health Clinic/Center
- Nondalton, AK
- NPI 1740659192
-
- Multi-Specialty Clinic/Center
- Iliamna, AK
- NPI 1912954272
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1639722069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1740337864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071262",
"telephone_number": "907-729-9989",
"fax_number": "907-729-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085925",
"telephone_number": "907-729-3300"
}
],
"practiceLocations": [
{
"address_1": "4155 Tudor Centre Dr",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085902",
"country_code": "US",
"telephone_number": "907-729-8624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGHTMAN",
"first_name": "CHRISTOPHER",
"middle_name": "D.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "CSWS1092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.