Karen Eileen Anderson, LBSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802080514 Issued in MI

Practice address

19750 Burt Rd
Detroit, MI 48219-2078

Phone

(313) 531-2500

NPI assigned

Aug 11, 2021

Last updated

Aug 11, 2021By 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

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1326713470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18247 CANVASBACK DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381182",
            "telephone_number": "586-303-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19750 BURT RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192078",
            "telephone_number": "313-531-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAREN",
        "middle_name": "EILEEN",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802080514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmyn Anderson
• Jerome Keith Anderson
• Joncarlos Anderson
• Joyce Regina Anderson, LPN
• Judy Anderson, BSW
• Katherine Reed Anderson, OD
• Kianna Anderson, MSN, APRN, FNP-BC
• Kristina Louise-Van Ginhoven Anderson, FNP-C
• Lakesha Anderson
• Latasha Alise Anderson

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.