Active NPI
Allan Neil Anderson, L.I.C.S.W.
- Clinical Social Worker
- Lowell, MA
National Provider Identifier
1720186505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1016216
- Practice address
- 704 Rogers St
Lowell, MA 01852-4338 - Phone
- (978) 937-2696
- Fax
- (978) 970-2922
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1016216 | MA | Primary |
Addresses
Primary practice location
704 Rogers St
Lowell, MA 01852-4338
Mailing address
704 Rogers St
Lowell, MA 01852-4338
Phone (978) 937-2696
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 712815 | Other | MA | TUFTS HEALTH PLANS |
| P04692 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040603000802 | MA | Practitioner - Clinical Social Worker | 3072595099 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pathways Counseling Associates, Inc.
Practice addresses (Care Compare)
134 Middle St
Suite 340
Lowell, MA 01852-1878
Phone (978) 937-2696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720186505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 ROGERS ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018524338",
"telephone_number": "978-937-2696",
"fax_number": "978-970-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 ROGERS ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018524338",
"telephone_number": "978-937-2696",
"fax_number": "978-970-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALLAN",
"middle_name": "NEIL",
"credential": "L.I.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1016216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "712815",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P04692",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.