Anita T Anderson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801057132 Issued in MI

Practice address

28 N Saginaw St
Suite 813
Pontiac, MI 48342-0266

Phone

(248) 451-0540

Fax

(248) 451-0544

NPI assigned

Nov 9, 2006

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

Other names 1

• Anita T Bommarito Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Soka Services

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1790795946
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235209792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N SAGINAW ST",
            "address_2": "SUITE 813",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422134",
            "telephone_number": "248-451-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N SAGINAW ST",
            "address_2": "SUITE 813",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483420266",
            "telephone_number": "248-451-0540",
            "fax_number": "248-451-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANITA",
        "middle_name": "T",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "BOMMARITO",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• American Medical Services
• Arezo Amirikia, M.D.
• Amt Homecare LLC
• Amy Park-Goeddeke,LMSW, L.L.C
• Maria Adriana Anders, D.O.
• Kyannah Toyann Anderson
• Lisa Elaine Anderson
• Nathan D Anderson, AAS
• Shanti Anderson, LPC
• Cassidy Andrusz

• Clinical Social Worker in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Clinical Social Worker in Michigan

• 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.

Verify at the official NPI Registry.