Dionis Kaatri Anderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004595 Issued in VA

Practice address

770 W Ridge Rd
Wytheville, VA 24382-1187

Phone

(276) 223-3200

Fax

(276) 223-0617

NPI assigned

Feb 23, 2009

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1437399003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821187",
            "telephone_number": "276-223-3200",
            "fax_number": "276-223-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821187",
            "telephone_number": "276-223-3200",
            "fax_number": "276-223-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DIONIS",
        "middle_name": "KAATRI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945298",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Adams, FNP-C
• Kayla Danielle Agee, LPC
• Michelle L Alley, RN
• Amedisys Home Health, Inc. of Virginia (Amedisys Home Health of Wytheville)
• Darrell E Anderson, HIS
• Donald R Anderson, MD, FACC, FCCP, COL
• Sarah Elizabeth Anderson, OD
• Roger Lee Andrews Jr., LCSW
• Matthew Thomas Aney, M.D.
• Justin Tyme Archer, DDS

• Clinical Social Worker in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.