Individual
MR. PAUL GAINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, M.ED.
Contact information
Practice address
4031 SAN ERNESTO AVE APT 4, ANCHORAGE, AK 99508-2829
(385) 309-3999
Mailing address
3721 B STREET, UNIT 240851, ANCHORAGE, AK 99524-0851
(401) 855-4776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103417
AK
1041C0700X
Clinical Social Worker
ISW02768
RI
1041C0700X
Clinical Social Worker
ISW121658
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103417
LCSW
AK
01
—
121658
LICSW
MA
01
—
ISW02768
LICSW
RI
Enumeration date
05/10/2013
Last updated
06/09/2025
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