Donna Anderson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1288 Issued in MN

Practice address

1711 County Road B W
Rosewood Office Plaza Suite 210S
Roseville, MN 55113-4057

Phone

(651) 621-2495

Fax

(651) 621-2496

NPI assigned

Jul 18, 2006

Last updated

Nov 8, 2011By 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

Medicare fee-for-service enrollment

Enrolled in MN

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, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Donna Anderson Licsw, PA

  • Clinical Social Worker
  • Roseville, MN
  • NPI 1720351158
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1669491908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 COUNTY ROAD B W",
            "address_2": "ROSEWOOD OFFICE PLAZA SUITE 210S",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134057",
            "telephone_number": "651-621-2495",
            "fax_number": "651-621-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 COUNTY ROAD B W",
            "address_2": "ROSEWOOD OFFICE PLAZA SUITE 210S",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134057",
            "telephone_number": "651-621-2495",
            "fax_number": "651-621-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONNA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Sue Andersen, MPT
• Ruth Carol Anderson-Benge
• Ashley Christine Anderson, M.D.
• Christopher Stephen Anderson
• Clarissa J. Anderson, MA
• Jill Anderson
• Kerry Lynn Anderson, PHARMD, RPH
• Marnna Anderson
• Megan Marie Anderson
• Shari Marie Anderson, OD

• Clinical Social Worker in Roseville, MN
• Providers in Roseville, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.