Karen Lou Anderson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00246 Issued in MN

Practice address

7300 France Ave S
Suite 208
Edina, MN 55435-4525

Phone

(952) 913-5403

NPI assigned

Dec 2, 2010

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

Medicare fee-for-service enrollment

Enrolled in MN

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, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elizabeth Wagner PSYD LP IncGroup PAC ID 4183967219, 3 clinicians

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.

• Elizabeth Wagner, PSYD, LP, Inc.

  • Clinical Psychologist
  • Saint Louis Park, MN
  • NPI 1740637818

  MN

  Medicare reassignment Care Compare group NPD
• Edina Comfort Care Mental Health Walk-in Clinic LLC

  • Social Worker
  • Edina, MN
  • NPI 1861706863
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1447552070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17645 JUNIPER PATH",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447490",
            "telephone_number": "651-313-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "SUITE 208",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354525",
            "telephone_number": "952-913-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAREN",
        "middle_name": "LOU",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "00246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick James Anderson Jr., DO
• Jaimi L Anderson, CNP
• James Mitchell Anderson, D.C.
• Jeffrey P Anderson, D.C., D.A.B.C.I.
• John Theodore Anderson, M.D.
• Katie Maryl Anderson, CNP
• Kelly Lynn Anderson, MASSAGE THERAPIST
• Kristie J Anderson, FNP
• Madisyn E Anderson, OTR/L
• Mark Omar Anderson, M.S.

• All providers in Edina, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.