MR. DAVID E. MODDE (NPI# 1659562882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659562882 |
| Entity Type | Individual |
| Full Name | MR. DAVID E. MODDE |
| Credential | LCSW |
| Practice Address |
122 1st Ave Suite 600 Fairbanks AK 99701-4803 |
| Practice Telephone | 9074528251 |
| Practice Fax Number | 9074593810 |
| Mailing Telephone | 9074528251 |
| Mailing Fax Number | 9074593810 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH4238 | 05 | |
| AK | DA4460 | 05 |
| Street Address |
122 1ST AVE SUITE 600 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359323 | Kathleen Hodges | Social Worker | 122 1st Ave, Fairbanks, AK 99701-4803 | 2005-10-06 |
| 1447801857 | John Gerald Mayo | Counselor | 122 1st Ave, Fairbanks, AK 99701-4871 | 2019-09-26 |
| 1619227246 | Qwynten Richards | Counselor | 122 1st Ave, Suite 400, Fairbanks, AK 99701-4803 | 2012-09-11 |
| 1750639449 | Sandra Mccafferty | Community Health Worker | 122 1st Ave, Suie 600, Fairbanks, AK 99701-4803 | 2012-08-28 |
| 1407104169 | Alfred Stevens | Counselor | 122 1st Ave, Suite 600, Fairbanks, AK 99701-4803 | 2012-08-28 |
| 1710234877 | Michael James Demoski | Dental Assistant | 122 1st Ave, 600, Fairbanks, AK 99701-4803 | 2012-08-08 |
| 1023365186 | Debra Ann Dayton | Dental Assistant | 122 1st Ave, 600, Fairbanks, AK 99701-4803 | 2012-08-08 |
| 1699021600 | Mary Beth Morrison | Case Manager/Care Coordinator | 122 1st Ave, 4th Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| 1598011512 | Jennie Lynn Mclean | Case Manager/Care Coordinator | 122 1st Ave, Fourth Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| 1497001416 | Pearl J Gould | Case Manager/Care Coordinator | 122 1st Ave, Fourth Floor, Fairbanks, AK 99701-4803 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| 1114295391 | Victoria Lynzie Milhouse | Social Worker | 965 Coppet St, Fairbanks, AK 99709-4718 | 2011-12-02 |
| 1437483377 | Laurel A Sliney | Social Worker | 3830 S. Cushman St, Fairbanks, AK 99701 | 2009-09-24 |
| 1063603645 | Carl Rayburn | Social Worker | 1825 Marika Road, Fairbanks, AK 99709-5521 | 2007-08-07 |
| 1922218668 | Leslie Yamamoto | Social Worker | 407 5th Ave, Fairbanks, AK 99701-4715 | 2007-05-23 |
| 1932197167 | Cristina Ann Ackerman | Social Worker | 3180 Peger Rd, Suite 200, Fairbanks, AK 99709-5453 | 2005-10-11 |
| 1558960401 | Jo Marie Gemlich | Social Worker | 100 Cushman St Ste 309, Fairbanks, AK 99701-4673 | 2020-10-21 |
| 1073124939 | Alyssa Ball | Social Worker | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2020-08-13 |
| 1154951010 | Kristal Ann Kinsey | Social Worker | 100 Cushman St Ste 309, Fairbanks, AK 99701-4673 | 2020-01-20 |
| 1811530827 | Jeannette Padilla | Social Worker | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2019-10-22 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.