Atiya Anderson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3120 Gramercy St Apt 4310
Charlotte, NC 28262-2908

Phone

(646) 479-4329

NPI assigned

Jan 9, 2025

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

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1265242515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 GRAMERCY ST APT 4310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622908",
            "telephone_number": "646-479-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 GRAMERCY ST APT 4310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622908",
            "telephone_number": "646-479-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ATIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Counseling and Consulting Group, PLLC
• Anderson Family Chiropractic, PLLC
• Anderson Prosthetics & Orthotics, LLC
• Tia Renee Anderson-Crowder, LPC-A
• Amy Rosemary Anderson, LCSW, LMSW
• Bonnie Y Anderson
• Briana Cherelle Anderson, NP
• Caylee Y Anderson, OT
• Chammee Sarah Anderson, IBCLC
• Charles David Anderson, MD

• All providers in Charlotte, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.