Individual provider Active NPI

Heidi Anderson, LCSW

  • Clinical Social Worker
  • Baker, FL
National Provider Identifier
1720560675
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16974 Issued in FL
Practice address
1048 Stanley LN
Baker, FL 32531-8316
Phone
(719) 355-8222
Fax
(727) 313-9624
NPI assigned
Sep 6, 2018
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW16974 FL Primary

Addresses

Primary practice location

1048 Stanley LN
Baker, FL 32531-8316

Mailing address

2810 N Church St
Wilmington, DE 19802-4447
Phone (719) 355-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16974FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Center for Excellence LLC Clinical CurrentSince Sep 29, 2024 Accepting new patients

Locations

2810 N Church St
Wilmington, DE 19802
Phone (773) 906-4773

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

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1720560675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N CHURCH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024447",
            "telephone_number": "719-355-8222",
            "fax_number": "727-313-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 STANLEY LN",
            "city": "BAKER",
            "state": "FL",
            "postal_code": "325318316",
            "telephone_number": "719-355-8222",
            "fax_number": "727-313-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.