Active NPI
Lilyanna Anderson, LICSW
- Clinical Social Worker
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23525
- Practice address
- 2120 Park Ave
Minneapolis, MN 55404-3378 - Phone
- (651) 774-0011
- Fax
- (651) 774-0606
- NPI assigned
- May 12, 2017
- Last updated
- Mar 4, 2026
- Sex
- Female
- 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 | 23525 | MN | Primary |
Addresses
Primary practice location
2120 Park Ave
Minneapolis, MN 55404-3378
Mailing address
3000 Ames Crossing Rd Ste 600
Eagan, MN 55121-2570
Phone (651) 774-0011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23525 | Other | MN | LICSW |
Other names 1
- Lily Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3000 Ames Crossing Rd
Suite 600
Eagan, MN 55121-2519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23525 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People Incorporated | Current | Accepting new patients | |
| People Incorporated | Current | Accepting new patients | |
| Guild | Past | Accepting new patients | |
| Guild | Past | Accepting new patients |
Locations
2120 Park Ave
Minneapolis, MN 55404
Phone (612) 872-2000
3000 Ames Crossing Rd
Ste 600
Saint Paul, MN 55121
Phone (651) 288-3467
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Minneapolis, MN
- NPI 1215104831
-
- Community/Behavioral Health Agency
- New Hope, MN
- NPI 1720356900
-
- Case Management Agency
- Saint Paul, MN
- NPI 1659534725
-
- Community/Behavioral Health Agency
- Saint Paul, MN
- NPI 1861514945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1760919419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 AMES CROSSING RD STE 600",
"city": "EAGAN",
"state": "MN",
"postal_code": "551212570",
"telephone_number": "651-774-0011",
"fax_number": "651-774-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043378",
"telephone_number": "651-774-0011",
"fax_number": "651-774-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LILYANNA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "23525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "23525",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LILY",
"last_name": "ANDERSON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.