Michael Floyd Anderson, MS LCSW LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3911123 Issued in WI

Practice address

W6144 Aerotech Dr
Appleton, WI 54914-7503

Phone

(920) 733-2065

Fax

(920) 574-3273

NPI assigned

Aug 7, 2006

Last updated

Dec 6, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Valley Psychiatric Associates

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1255450086
  NPD (past)
• Thedacare, Incorporated

  dba ThedaCare Physicians

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1720097611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369116",
            "telephone_number": "904-605-4986",
            "fax_number": "941-460-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6144 AEROTECH DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147503",
            "telephone_number": "920-733-2065",
            "fax_number": "920-574-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 E Evergreen Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138881",
            "country_code": "US",
            "telephone_number": "920-733-2065",
            "fax_number": "920-574-3273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "FLOYD",
        "name_prefix": "Mr.",
        "credential": "MS LCSW LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3911123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Joi Anderson
• Jack Anderson, MD
• Jennifer Ashley Anderson, DNP, FNP-C
• Jill A Anderson, O.D.
• Kristin G Anderson, RN,APNP
• William A Anderson, APRN
• Joshua Paul Andreini
• Brandi Andrews, CSAC
• Shannon Andrews, NP
• Patricia Ann Angelucci, NP

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, 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 Dec 6, 2022; 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.