Wilma Lorraine Anderson, LMSW,ACSW,CAMF

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

6801016489 Issued in MI

Practice address

25305 Greenbrooke Dr
Southfield, MI 48033-5285

Phone

(313) 303-0092

Fax

(248) 350-8008

NPI assigned

Oct 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256342400000",
    "number": "1497081525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25305 GREENBROOKE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335285",
            "telephone_number": "313-303-0092",
            "fax_number": "248-350-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25305 GREENBROOKE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335285",
            "telephone_number": "313-303-0092",
            "fax_number": "248-350-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WILMA",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "LMSW,ACSW,CAMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-24",
        "last_updated": "2009-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801016489",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016489",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801016489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Anderson
• Roger Charles Anderson Jr., P.T.
• Serenity Anderson
• Tania Monae Anderson
• Tracy Anderson
• George O Andooparampil, PT
• Andrea C Lightbourn MD PLLC
• Anca Elena Andrei, MD
• Andrew J Smith Jr MD Memorial Group
• Naomi Anema

• School Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• School Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2009; 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.