Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659562882 Deactivated / Inactive NPI Male Practitioner

David E. Modde , LCSW

Social Worker • Fairbanks, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Modde has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2007
NPI Deactivation Date April 12, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

David Modde, LCSW was a registered Social Worker practicing in Fairbanks, AK. Throughout an active medical career spanning 15 years, David Modde provided care at the practice location at 122 1ST AVE until profile deactivation on 2022-04-12.

Practice Location & Contact Primary Location

Practice Address

122 1st Ave
Suite 600

Fairbanks, AK 997014803

Telephone 9074528251
Fax 9074593810
Associated Practice Facility / Clinic
🏢 Tanana Chiefs Conference Facility NPI 1801005137

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fairbanks, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
98 Specialists

Practicing in Fairbanks, AK (388 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cynthia Agnes

Counselor

NPI 1003426776
Kristina Boswood , MED, LPC

Counselor - Professional

NPI 1023247384

Master of Education, Licensed Professional Counselor

Charlie Titus

Counselor - Addiction (Substance Use Disorder)

NPI 1023340056
Debra Dayton

Dental Assistant

NPI 1023365186
Tashina Pitka

Case Manager/Care Coordinator

NPI 1033773205
Celina Risner , CDC I

Counselor - Addiction (Substance Use Disorder)

NPI 1033785639

CDCI

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2022

Record deactivated on April 12, 2022

NPI Profile Active March 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 29, 2010

Registered at 122 1ST AVE, SUITE 600, FAIRBANKS, AK 997014803 (Tel: 9074528251)

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Updated Business Mailing Address March 29, 2010

Registered at 122 1ST AVE, SUITE 600, FAIRBANKS, AK 997014803 (Tel: 9074528251)

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Provider Name / Credentials Updated March 29, 2010

Recorded as DAVID MODDE, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2010

Social Worker

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Initial NPI Registration & Enumeration August 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659562882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: March 29, 2010
Deactivation Date: April 12, 2022

Mailing Address

122 1st Ave, Suite 600

Fairbanks, AK 997014803

Phone: 9074528251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.