Active NPI
Brandi Anderson, LICSW
- Social Worker
- Morgantown, WV
National Provider Identifier
1023465853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801099232
- Practice address
- 930 Chestnut Ridge Rd
Morgantown, WV 26505-2807 - Phone
- (304) 598-4214
- Fax
- (304) 293-8724
- NPI assigned
- May 23, 2016
- Last updated
- Aug 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801099232 | MI | Primary |
Addresses
Primary practice location
930 Chestnut Ridge Rd
Morgantown, WV 26505-2807
Mailing address
PO Box 4017
Center Line, MI 48015-4017
Other practice location 1
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone (586) 501-3070
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 |
|---|---|---|---|
| 6801099232 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1023465853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4017",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480154017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 CHESTNUT RIDGE RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052807",
"telephone_number": "304-598-4214",
"fax_number": "304-293-8724"
}
],
"practiceLocations": [
{
"address_1": "6900 E 10 Mile Rd",
"address_purpose": "LOCATION",
"city": "Center Line",
"state": "MI",
"postal_code": "480151168",
"country_code": "US",
"telephone_number": "586-501-3070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRANDI",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801099232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.