Dustin B. Anderson, LCSW
Individual provider Active NPI Clinical Social Worker · Taos, NM
NPI 1235757451 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1235757451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 920 Salazar Rd Ste C
Taos, NM 87571-8225 - Phone
- (575) 519-1869
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
140 Camino del Medio
San Cristobal, NM 87564-9998
Phone (832) 609-9113
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240226000893 | NM | Practitioner - Clinical Social Worker | 9739539156 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Healing and Therapy LLC | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NM | Yes |
Addresses
Primary practice location
920 Salazar Rd Ste C
Taos, NM 87571-8225
Mailing address
920 Salazar Rd Ste C
Taos, NM 87571-8225
Phone (575) 519-1869
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73725773 | Medicaid | NM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brock.anderson@teambuilders.org | Health Information Exchange (HIE) |
Other providers in Taos, NM
- Zainab Almaani
- Victor Alvarado
- Amigos Unidos Inc
- Amy Dondanville LCSW, LLC
- Charles W Anderson
- Jill Ansell
- Barbara Apodaca
- Stephanie Appa
- Mayra Aragon
- Monique Arancibia
All providers in Taos, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.