Analise Mae Anderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012916 Issued in NC

Practice address

612 N Greene St
Greensboro, NC 27401-2024

Phone

(336) 604-5100

Fax

(336) 604-5151

NPI assigned

Oct 24, 2018

Last updated

Jul 15, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Striped Couch Counseling, PLLC

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1740159375
  Medicare reassignment NPD Authorized official
• Thomas L Murray Jr PHD PLLC

  dba A Path to Wellness Integrative Psychi

  • Adult Mental Health Clinic/Center
  • Greensboro, NC
  • NPI 1467945857
  Medicare reassignment NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1720555162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N GREENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012024",
            "telephone_number": "336-604-5100",
            "fax_number": "336-604-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N GREENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012024",
            "telephone_number": "336-604-5100",
            "fax_number": "336-604-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 1st Ave SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286023005",
            "country_code": "US",
            "telephone_number": "828-994-4544",
            "fax_number": "828-624-0546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 S Clement St",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282336",
            "country_code": "US",
            "telephone_number": "336-753-6440",
            "fax_number": "336-753-6990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 W Main St",
            "address_purpose": "LOCATION",
            "city": "Yadkinville",
            "state": "NC",
            "postal_code": "27055",
            "country_code": "US",
            "telephone_number": "336-849-7890",
            "fax_number": "336-849-7891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANALISE",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011320",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anbec M. Deshield, DDS, PLLC (Best Smile Dental)
• Anchorage Place (Alternative Residential Youth Resources, Inc.)
• Marie Andersen-Whitehurst
• Aaron Michael Anderson, PHARM. D
• Aliyah Anderson
• Anthony Shane Anderson, MD
• Chelsey Anderson, DO
• Courtney Elaine Anderson, NP
• Dena Diane Anderson, MPAS, PA-C
• Jeanne E. Anderson, PSY.D.

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.