Larry D Anderson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00546 Issued in IA

Practice address

2525 N Ankeny Blvd
Suite 113
Ankeny, IA 50023-4714

Phone

(515) 289-9139

Fax

(515) 189-9139

NPI assigned

Nov 15, 2006

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• Capstone Behavioral Healthcare, Inc

  • Community/Behavioral Health Agency
  • Newton, IA
  • NPI 1174598908
  NPD (past)
• Center for Interpersonal Effectiveness, PC

  • Community/Behavioral Health Agency
  • Ankeny, IA
  • NPI 1558553891
  NPD (past)
• Poweshiek County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grinnell, IA
  • NPI 1528166360
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1356413256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "SUITE 113",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234714",
            "telephone_number": "515-289-9136",
            "fax_number": "515-289-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "SUITE 113",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234714",
            "telephone_number": "515-289-9139",
            "fax_number": "515-189-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LARRY",
        "middle_name": "D",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IB1221",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Ravn Andersen, DC
• Aaron Lee Anderson, PA-C
• Cole Anderson, DO
• Dorothy Anne Anderson, LMHC
• Emma Sue Anderson, M.A., CF-SLP
• Amy Marie Andreesen, OTR/L
• Sarah Andrews, MS
• Ankeny Aesthetic Dentistry
• Ankeny Apothecary, Inc. (Medicap Pharmacy)
• Ankeny Children's Dental PC

• Clinical Social Worker in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.