Active NPI
Sheridan Marie Anderson, MSW
- Social Worker
- Ontario, OR
National Provider Identifier
1508565409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 992 W Idaho Ave
Ontario, OR 97914-2111 - Phone
- (208) 741-3336
- NPI assigned
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Payette, ID
- NPI 1104350511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Counseling & Therapy | Past | Accepting new patients | |
| Insight Matters, Inc | Social Worker | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
992 W Idaho Ave
Ontario, OR 97914-2111
Mailing address
1220 S Lincoln Ave
Boise, ID 83706-3252
Phone (949) 243-2063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2023.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1508565409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 S LINCOLN AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837063252",
"telephone_number": "949-243-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 W IDAHO AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142111",
"telephone_number": "208-741-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SHERIDAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.