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MR. PAUL GAINES JR. MSW, LICSW, M.ED.
NPI 1235575762
Social Worker - Clinical in Anchorage, AK

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
4031 SAN ERNESTO AVE APT 4, ANCHORAGE, AK 99508(385) 309-3999 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Feb 24, 2025, Feb 19, 2025 (3 updates tracked since 2025).

About Mr. Paul Gaines Jr. Msw, Licsw, M.ed. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL GAINES JR. MSW, LICSW, M.ED. (NPI 1235575762) is an individual clinical provider in Anchorage, Alaska, licensed in Alaska (103417) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairbanks, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235575762
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PAUL GAINES JR.Credential: MSW, LICSW, M.ED.
Location Address4031 SAN ERNESTO AVE APT 4Anchorage, AK 99508-2829
Mailing Address3721 B Street, Unit 240851Anchorage, AK 99524-0851 · (401) 855-4776
Phone(385) 309-3999
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 10, 2013
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1235575762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in AK · 103417✔ Licensed in MA · ISW121658✔ Licensed in RI · ISW02768
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4031 SAN ERNESTO AVE APT 4, Anchorage, AK 99508
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Secondary Practice Location 1

Location 1PO Box 74915Fairbanks, AK 99707-4915 · Phone (401) 855-4776

Other Identifiers 3

OtherISW02768RI · Licsw
Other121658MA · Licsw
Other103417AK · Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul Gaines Jr. Msw, Licsw, M.ed. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183986268
PECOS Enrollment IDI20210115001493
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $71.33 – $222.64
Typical copayment $0.00 (range $17.83 – $55.66)
Most-billed visit code NA
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Gaines's NPI number?

The NPI number for Paul Gaines is 1235575762. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Paul Gaines located?

Paul Gaines practices at 4031 San Ernesto Ave Apt 4, Anchorage, AK 99508. The listed phone number is (385) 309-3999.

What is Paul Gaines's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paul Gaines enrolled in Medicare?

Yes. Paul Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Gaines accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Paul Gaines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Gaines was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.