Anderson Clinical Services Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANDERSON CLINICAL SERVICES CORP

Practice address

16057 Dobson Ave
South Holland, IL 60473-1738

Phone

(708) 295-3502

NPI assigned

Feb 23, 2019

Last updated

Apr 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betsy Colvin, LCSWNPI 1316199474

Title

President

Phone

(708) 295-3502

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betsy Colvin, LCSW

  • Clinical Social Worker
  • South Holland, IL
  • NPI 1316199474
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1801353107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16057 DOBSON AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731738",
            "telephone_number": "708-638-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16057 DOBSON AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731738",
            "telephone_number": "708-295-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CLINICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-295-3502",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• La Tonya Anderson, APRN
• Naquesha Anderson
• Susan Anderson
• Maxwell Anokwute

• Clinical Social Worker in South Holland, IL
• Providers in South Holland, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.