Jean Anderson, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JEAN ANDERSON, LLC

Practice address

3500 N Rock Rd BLDG 550
Wichita, KS 67226-1498

Phone

(316) 706-5818

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Jean Anderson, LSCSWNPI 1861819278

Title

Owner, Lscsw

Phone

(316) 706-5818

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean L. Anderson, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1861819278
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1659094456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD BLDG 550",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261498",
            "telephone_number": "316-706-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD BLDG 550",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261498",
            "telephone_number": "316-706-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN ANDERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER, LSCSW",
        "authorized_official_telephone_number": "316-706-5818",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4641",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Jay, LCMFT
• Sumal Buddhika Jayawarna
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• JCB Laboratory LLC
• JDH Home Care
• Jeanette Diederich
• Jeanne Erikson Counseling and Coaching LLC
• Angela Jefferies, LPN
• Penny E. Jeffery, M.D.
• Erin Kellie Jeffress, COTA/L

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.