Jesse Anderson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW135302 Issued in PA

Practice address

1303C Nicholas St
Easton, PA 18045

Phone

(484) 819-0771

NPI assigned

Mar 25, 2020

Last updated

Mar 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1609403112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SNYDERS LN",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071167",
            "telephone_number": "570-977-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303C NICHOLAS ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18045",
            "telephone_number": "484-819-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jesse/Anderson",
            "affiliation": "N",
            "endpointDescription": "Name",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Name",
            "address_1": "1303C Nicholas St",
            "city": "Easton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jodi E Amorese, LCSW
• Anthony Amoroso, M.D.
• Ajay Anand, MD
• Michael Anastasiou, PTA
• Erin Anderson
• Kari Morgan Anderson, PA-C
• Uri Anderson
• David Leonard Andolino, MD
• Amanda Lynn Andrews
• Anesthesia Associates of Easton, P C

• Social Worker in Easton, PA
• Providers in Easton, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.