Stephen Christian Anderson, MSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-04997 Issued in NM

Practice address

525 S Melendres St
Las Cruces, NM 88005-2805

Phone

(575) 526-3437

NPI assigned

Jan 25, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1689905036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 WARM SPRINGS LN",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114011",
            "telephone_number": "575-532-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S MELENDRES ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052805",
            "telephone_number": "575-526-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHEN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "MSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-04997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Y Anderson-Martin, LMSW
• Amy Michel Anderson, M.A.
• Davonna Anderson
• Nicholas Anderson
• Ryan B Anderson, M.D.
• Tara Anderson
• Brandi Andrade
• Brenda Y Andrade, BT
• Mandy A Andrade, M.A. CCC-SLP
• Oscar A Andrade, PHARM.D.

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.