Georgia Anderson, PH.D., MSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0900230-SUPV Issued in OH

Practice address

4790 Red Bank Rd Ste 128
Cincinnati, OH 45227-1509

Phone

(513) 731-3346

Fax

(513) 672-9539

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1659048007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 128",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509",
            "telephone_number": "513-731-3346",
            "fax_number": "513-672-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 128",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509",
            "telephone_number": "513-731-3346",
            "fax_number": "513-672-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GEORGIA",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900230-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dymond Samantha Anderson
• Ebonni R Anderson
• Edonia Diane Anderson
• Elizabeth Rose Anderson, SOCIAL WORKER
• Erica Renee Anderson, LPN
• Hannah Michelle Anderson, FNP
• Heaven Anderson
• Holly B. Anderson, D.C.
• Isabel Kemp Anderson, MD, MPH
• Jeanetta Anderson

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.