John Peter Anderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070270-1 Issued in NY

Practice address

143 E Bridge St
Oswego, NY 13126-2225

Phone

(315) 420-2784

Fax

(315) 342-6035

NPI assigned

Aug 24, 2005

Last updated

Feb 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1093708158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3035",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131260735",
            "telephone_number": "315-420-2784",
            "fax_number": "315-342-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262225",
            "telephone_number": "315-420-2784",
            "fax_number": "315-342-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lorraine Althouse, NPP
• Hannah Alton
• Devon Michele Amedio, CNM
• Tara Ammersen, LCSW
• Amy Orr LMSW Counseling Services
• Maurice Ross Anderson, RPH
• Caroline Erika Andrews
• Clayton Andrews
• Anna Nicole Andris, MA
• Loretta L Andris, COTA/L

• Clinical Social Worker in Oswego, NY
• Providers in Oswego, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.