Andrew James Archer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21415 Issued in MN

Practice address

1306 Marshall St
St Peter, MN 56082-4500

Phone

(507) 931-8040

Fax

(507) 931-8060

NPI assigned

Aug 21, 2009

Last updated

Feb 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest Center for Human Services LLP

  • Clinical Social Worker
  • Madison, WI
  • NPI 1437221686
  Medicare reassignment
• Northern Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Center Conway, NH
  • NPI 1700955028
  NPD
• Northern Human Services

  • Mental Health Counselor
  • Conway, NH
  • NPI 1700063617
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1396977526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 MARSHALL ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 MARSHALL ST",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "1618",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81263824",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark S Akland, MD
• Amy Anderson, REGISTERED NURSE
• Neil Wayne Anderson, DDS
• Sheila E Anderson, NP
• Apple Express, LLC
• Alexis Leigh Artmann
• Natasha Marie Auer, PSY.D.,L.P.
• Back in Balance Health and Wellness PLLC
• Patricia Balderas-Johnson
• Paul B. Bandelin, DO

• Clinical Social Worker in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.