Ronald Anderson, MS, NCC, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2211-125 Issued in WI

Practice address

601 Fall St
Eau Claire, WI 54703-3157

Phone

(715) 524-4840

Fax

(715) 524-4236

NPI assigned

Jan 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Lutheran Counseling & Family Services

  • Clinical Social Worker
  • Eau Claire, WI
  • NPI 1497828735
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609913839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FALL ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033157",
            "telephone_number": "715-524-4840",
            "fax_number": "715-524-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FALL ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033157",
            "telephone_number": "715-524-4840",
            "fax_number": "715-524-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RONALD",
        "credential": "MS, NCC, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2211-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39214500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian T. Anderson, NP
• Matthew C Anderson I, LPC
• Mesada Anderson, NP
• Nathan Anderson
• Rachel L Anderson, PT, DPT
• Shannon Anderson
• Sophie Susanna Anderson, BSW, CSW, LSW
• Stacy Michelle Anding, R.D.H.
• Evan J Andor
• Brandon Daniel Andrew, M.D.

• Clinical Social Worker in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.