Active NPI
Doreen Kay Anderson, LSW
- Social Worker
- Lakewood, OH
National Provider Identifier
1164064994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1384 W 117TH St
Lakewood, OH 44107-3011 - Phone
- (216) 221-7588
- NPI assigned
- Oct 14, 2019
- Last updated
- Oct 14, 2019
- 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 | Primary |
Addresses
Primary practice location
1384 W 117TH St
Lakewood, OH 44107-3011
Mailing address
6453 Terre Dr
Brookpark, OH 44142-4053
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Youth Advocate Program, Inc | 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.
-
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- Rockford, IL
- NPI 1841943495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1164064994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6453 TERRE DR",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "441424053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1384 W 117TH ST",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073011",
"telephone_number": "216-221-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DOREEN",
"middle_name": "KAY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.