Active NPI
Sarah Elizabeth Anderson, M.S.W.
- Clinical Social Worker
- Nome, AK
National Provider Identifier
1023387305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-17735
- Practice address
- 306 West 5TH Ave.
Nome, AK 99762 - Phone
- (907) 443-4525
- Fax
- (907) 443-2085
- NPI assigned
- Dec 15, 2011
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801093207 | MI | |
| Clinical Social Worker | 1041C0700X | LCSW-17735 | AZ | Primary |
Addresses
Primary practice location
306 West 5TH Ave.
Nome, AK 99762
Mailing address
306 West 5TH Avenue
P.O. Box 966
Nome, AK 99762
Phone (907) 443-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093207 | MI | MD | Social Worker |
| LCSW-17735 | AZ | MD | Clinical Social Worker |
| 14212 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1023387305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 WEST 5TH AVENUE",
"address_2": "P.O. BOX 966",
"city": "NOME",
"state": "AK",
"postal_code": "99762",
"telephone_number": "907-443-4525",
"fax_number": "907-443-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 WEST 5TH AVE.",
"city": "NOME",
"state": "AK",
"postal_code": "99762",
"telephone_number": "907-443-4525",
"fax_number": "907-443-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801093207",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-17735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.