Madeleine Anderson, ASW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

92805 Issued in CA

Practice address

3427 4TH Ave
San Diego, CA 92103-4910

Phone

(619) 990-3651

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Diego Youth Services

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1720509409
  NPD (past)
• Atlantic Street Center

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1447551221
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1205351871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 WING ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104638",
            "telephone_number": "619-990-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034910",
            "telephone_number": "619-990-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 S Atlantic St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981443615",
            "country_code": "US",
            "telephone_number": "206-329-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MADELEINE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "92805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Anderson, M.D.
• Leslie Anderson, MD M.ED.
• Lindsay Anderson
• Lindsey Lynn Anderson, PA-C
• Lisa Anderson, OT
• Malia Grace Anderson
• Mandy Marie Anderson, M.D.
• Marissa Anderson, OTR/L
• Mark N Anderson
• Mary Anderson, PT

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.