Michael Kris Anderson, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Duluth, MN
NPI 1407599236 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1407599236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 22391 (MN)
- Practice address
- 1004 W 6TH St
Duluth, MN 55806-2306 - Phone
- (218) 310-8337
- NPI assigned
- Apr 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22391 | MN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22391 | MN | Yes |
Addresses
Primary practice location
1004 W 6TH St
Duluth, MN 55806-2306
Mailing address
1004 W 6TH St
Duluth, MN 55806-2306
Phone (218) 310-8337
Other providers in Duluth, MN
- Kristen Lee Anderson
- Kristina Kay Anderson
- Marie Anderson
- Mark Anderson
- Meredith Anderson
- Michelle Louise Anderson
- Molly Ann Anderson
- Neil J Anderson
- Paul Richard Anderson
- Robb Evan Anderson
All providers in Duluth, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.