Kathleen Rhodes Anderson, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0700139.SUPV Issued in OH

Practice address

1055 E Centerville Station Rd
Dayton, OH 45459-5500

Phone

(937) 439-2984

Fax

(937) 439-2984

NPI assigned

Sep 10, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Kathleen R Anderson Lisw-S LLC

  • Clinical Social Worker
  • Dayton, OH
  • NPI 1831527977
  Medicare reassignment NPD Authorized official
• Professional Psychology & Consultation Inc

  • Social Worker
  • Dayton, OH
  • NPI 1477613453
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1407005804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E CENTERVILLE STATION RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595500",
            "telephone_number": "937-439-2984",
            "fax_number": "937-439-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E CENTERVILLE STATION RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595500",
            "telephone_number": "937-439-2984",
            "fax_number": "937-439-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "RHODES",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700139.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Nicole Anderson
• Jeremiah Anderson
• Jessalyn Anderson, RDN, LD, CDCES
• Jody Marie Anderson, DO, MPH
• Kami Anderson, RN
• Keisha Anderson, LSW
• Lachlan S Anderson, LSW
• Latisha Anderson
• Lisa Michele Anderson, LSW
• Matthew Anderson

• Clinical Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.