Chris Anderson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW126031 Issued in MA

Practice address

29 Fair St Apt 1
New Bedford, MA 02740-7481

Phone

(802) 779-1959

NPI assigned

Aug 7, 2008

Last updated

Jun 6, 2024By the provider in NPPES

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1265688477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FAIR ST APT 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407481",
            "telephone_number": "802-779-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FAIR ST APT 1",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407481",
            "telephone_number": "802-779-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRIS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2008-08-07",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004826A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0119140",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW126031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Amparo
• Amy Amuquandoh, MD, MPH
• Anchor Medical Group and Wellness Center PC
• Christopher F. Andersen, M.A.
• Erik Andersen, MED
• Jennifer A. Anderson, CNM
• Nicholas A Anderson
• Carla Ando
• Alycia Andrade
• Angelina Andrade

• Clinical Social Worker in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.