Emily Ann Andersen, MSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801090629 Issued in MI

Practice address

654 Davis Ave NW
Grand Rapids, MI 49504-5149

Phone

(616) 897-7842

NPI assigned

Mar 14, 2012

Last updated

Jan 17, 2017By the provider in NPPES

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

Locations

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.

• Andersen Counseling Services PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1881421659
  NPD Authorized official
• Franciscan Life Center Network Incorporated

  dba Franciscan Life Process Center

  • Community/Behavioral Health Agency
  • Lowell, MI
  • NPI 1265803506
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1245505932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8779 LEONARD ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494049753",
            "telephone_number": "616-997-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 DAVIS AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045149",
            "telephone_number": "616-897-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terinda Barto Ancog
• Cathleen M Anderlohr
• Andersen Counseling Services PLLC
• Andersen Eye Prosthetics LLC
• Alexis Renee Andersen, BCABA
• Michelle J Andersen, C.F.N.P.
• Anderson Eye Care, LLC
• Corianna Anderson Hirsch, M.D.
• Myiesha Anderson-Moffett
• Theresa Joan Anderson-Varney, PHD

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.