Active NPI
Kelly L Anderson, LSW
- Social Worker
- Columbus, OH
National Provider Identifier
1114056637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S32015
- Practice address
- 655 E. Main St
Children's Hospital Guidance Center
Columbus, OH 43205 - Phone
- (614) 355-8000
- Fax
- (614) 355-8018
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- 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 | S32015 | OH | Primary |
Addresses
Primary practice location
655 E. Main St
Children's Hospital Guidance Center
Columbus, OH 43205
Mailing address
655 E. Main St
Children's Hospital Guidance Center
Columbus, OH 43205
Phone (614) 355-8000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S32015 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114056637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 E. MAIN ST",
"address_2": "CHILDREN'S HOSPITAL GUIDANCE CENTER",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-355-8000",
"fax_number": "614-355-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 E. MAIN ST",
"address_2": "CHILDREN'S HOSPITAL GUIDANCE CENTER",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-355-8000",
"fax_number": "614-355-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KELLY",
"middle_name": "L",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S32015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.