Mary Ellen Anderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013062 Issued in PA

Practice address

485 Berlin Plank Rd
Somerset, PA 15501-2069

Phone

(814) 701-2898

Fax

(814) 701-2917

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1356363600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 BERLIN PLANK RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012069",
            "telephone_number": "814-701-2898",
            "fax_number": "814-701-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 BERLIN PLANK RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012069",
            "telephone_number": "814-701-2898",
            "fax_number": "814-701-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000001750051",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029029280002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternative Community Resource Program, Inc.
• Alternative Community Resource Program, Inc.
• Alternatvie Community Resource Program
• Tina Renee Alvares, MED LBS
• Hemanth K Andanappa, MD
• Robert Anderson
• Zachary James Ankney, M.D.
• Ann G Smith M.D.,P.C.
• Antoinette L Botti OD
• Area Agency on Aging of Somerset County

• Clinical Social Worker in Somerset, PA
• Providers in Somerset, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.