Marguerite M Anderson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12268 Issued in MN

Practice address

412 W Kinne St
Ellsworth, WI 54011

Phone

(715) 273-6770

Fax

(715) 273-6862

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285707190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "540110670",
            "telephone_number": "715-273-6770",
            "fax_number": "715-273-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W KINNE ST",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "54011",
            "telephone_number": "715-273-6770",
            "fax_number": "715-273-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARGUERITE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "7304-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Brighter Tomorrow Counseling Services, LLC
• Sydney Kathleen Albarado, RD
• Katelyn Asmus, OTR/L
• Joyce Caryn Barker, MA LPC
• Leah Barr
• Gregory Winton Bernard, D.C.
• Jennifer M Borst, RDH

• Clinical Social Worker in Ellsworth, WI
• Providers in Ellsworth, WI by specialty
• Clinical Social Worker in Wisconsin

• 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.