Active NPI
Donald Anderson, LCSW
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1083655021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3090
- Practice address
- 5725 S Ross Ave
Oklahoma City, OK 73119-5650 - Phone
- (405) 685-4791
- NPI assigned
- Jun 9, 2006
- Last updated
- Dec 16, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3090 | OK | Primary |
Addresses
Primary practice location
5725 S Ross Ave
Oklahoma City, OK 73119-5650
Mailing address
4001 Knights Bridge St
Norman, OK 73072-1743
Phone (405) 573-9905
Other names 1
- Don L Anderson
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 |
|---|---|---|---|
| 3090 | OK | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Medical Services, L.L.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1083655021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 KNIGHTS BRIDGE ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721743",
"telephone_number": "405-573-9905",
"fax_number": "405-573-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 S ROSS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731195650",
"telephone_number": "405-685-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DONALD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "3090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DON",
"last_name": "ANDERSON",
"middle_name": "L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.