Individual provider Active NPI

Joanne Anderson, MSW,LGSW

  • Clinical Social Worker
  • Fairmont, WV
National Provider Identifier
1528214475
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00938648 Issued in WV
Practice address
1313 Locust Ave
Suite 1
Fairmont, WV 26554-1517
Phone
(304) 366-4750
Fax
(304) 366-4753
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BP00938648 WV Primary

Addresses

Primary practice location

1313 Locust Ave
Suite 1
Fairmont, WV 26554-1517

Mailing address

1313 Locust Ave
Suite 1
Fairmont, WV 26554-1517
Phone (304) 366-4750

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

State licenses

LicenseStateTypeSpecialty
BP00938648WVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1528214475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541517",
            "telephone_number": "304-366-4750",
            "fax_number": "304-366-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541517",
            "telephone_number": "304-366-4750",
            "fax_number": "304-366-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOANNE",
        "credential": "MSW,LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00938648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.