Active NPI
Anita M Dover, MSW, LMSW, ACSW
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1104994904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801015592
- Practice address
- 2387 S. Linden Rd
Suite B108
Flint, MI 48532-5443 - Phone
- (810) 732-1459
- Fax
- (810) 733-7689
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801015592 | MI | Primary |
| Marriage & Family Therapist | 106H00000X | 4101005886 | MI |
Addresses
Primary practice location
2387 S. Linden Rd
Suite B108
Flint, MI 48532-5443
Mailing address
2387 S. Linden Rd
Suite B108
Flint, MI 48532-5443
Phone (810) 732-1459
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019879000 | Other | MAGELLAN | |
| 8008940090 | Other | MI | BLUE CROSS BLUE SHIELD |
| 042352 | Other | MI | VALUE OPTIONS |
| 6801015592 | Other | HEALTH PLUS OF MICHIGAN |
Other names 1
- Anita Marie Dover Krug
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 |
|---|---|---|---|
| 4101005886 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1104994904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2387 S. LINDEN RD",
"address_2": "SUITE B108",
"city": "FLINT",
"state": "MI",
"postal_code": "485325443",
"telephone_number": "810-732-1459",
"fax_number": "810-733-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2387 S. LINDEN RD",
"address_2": "SUITE B108",
"city": "FLINT",
"state": "MI",
"postal_code": "485325443",
"telephone_number": "810-732-1459",
"fax_number": "810-733-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVER",
"first_name": "ANITA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSW, LMSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801015592",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101005886",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "019879000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8008940090",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "042352",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MICHIGAN",
"identifier": "6801015592",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "DOVER KRUG",
"middle_name": "MARIE",
"credential": "LMSW ACSW BCD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.