Kimberly Lee Anderson, MSW, LCSW, ATR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW002324 Issued in MO

Practice address

7110 Oakland Ave Ste 104
Saint Louis, MO 63117-1870

Phone

(314) 805-9421

Fax

(314) 644-7144

NPI assigned

Sep 30, 2005

Last updated

Jul 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

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, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Open Arms Wellness LLC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1033710751
  NPD (past)
• Residential Psychiatric Services, Inc.

  • Clinical Social Worker
  • Farmington, MO
  • NPI 1467453894
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1578550968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 OAKLAND AVE STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171870",
            "telephone_number": "314-805-9421",
            "fax_number": "314-298-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 OAKLAND AVE STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171870",
            "telephone_number": "314-805-9421",
            "fax_number": "314-644-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIMBERLY",
        "middle_name": "LEE",
        "credential": "MSW, LCSW, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495868614",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anderson
• Kathy Anderson, OD
• Katie Lynn Anderson, PNP
• Keith Fletcher Anderson, D.M.D.
• Kimberly A Anderson, RN
• Kourtney Anderson, MS
• Kristina Marie Anderson, M.D.
• Lamesa L Anderson
• Laura Ann Anderson, WHNP
• Madyson Talley Anderson, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.