Active NPI
Russell A. Anderson, MSW
- Clinical Social Worker
- Prescott, AZ
National Provider Identifier
1184677304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00007686
- Practice address
- 500 N US Highway 89
Prescott, AZ 86313-5001 - Phone
- (928) 445-4860
- NPI assigned
- May 18, 2006
- Last updated
- Jul 13, 2026
- 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 | LW00007686 | WA | Primary |
Addresses
Primary practice location
500 N US Highway 89
Prescott, AZ 86313-5001
Mailing address
7068 N Sunrise Vis
Prescott Valley, AZ 86314-3416
Phone (928) 772-5477
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 |
|---|---|---|---|
| LW00007686 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184677304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7068 N SUNRISE VIS",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863143416",
"telephone_number": "928-772-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N US HIGHWAY 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863135001",
"telephone_number": "928-445-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RUSSELL",
"middle_name": "A.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00007686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Harold Anderson, CO
- Joyce Anderson
- Larry Dean Anderson, R.PH.
- Marion Elizabeth Anderson, LMFT
- Mary Elizabeth Anderson, MA, LMFT
- Sabrina E Anderson, DC
- Ljudevit Andres, M.D.
- Cameron D Andrew, DDS
- Victoria Michelle Angel, APRN, FNP-BC
- Angela Seesholtz Counseling Dba Resilient Brain Prescott (Angela Seesholtz Counseling PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.