Individual provider Active NPI

Freda Anderson, LCSW

  • Clinical Social Worker
  • Sunrise, FL
National Provider Identifier
1902362296
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12207 Issued in FL
Practice address
1560 Sawgrass Corporate Pkwy Ste 400
Sunrise, FL 33323-2855
Phone
(754) 757-9468
Fax
(855) 509-0194
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW12207 FL Primary

Addresses

Primary practice location

1560 Sawgrass Corporate Pkwy Ste 400
Sunrise, FL 33323-2855

Mailing address

1560 Sawgrass Corporate Pkwy Ste 400
Sunrise, FL 33323-2855
Phone (754) 757-9468

Other practice location 1

1560 Sawgrass Corporate Pkwy Ste 400
Sunrise, FL 33323-2855
Phone (754) 757-9468

Other identifiers 1

IdentifierTypeStateIssuer
018922500MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
A'Lof Behavioral Services Clinical CurrentSince Sep 20, 2014 Accepting new patients

Locations

1560 Sawgrass Corporate Pkwy
Ste 400
Sunrise, FL 33323
Phone (754) 757-9468

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1902362296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SAWGRASS CORPORATE PKWY STE 400",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232855",
            "telephone_number": "754-757-9468",
            "fax_number": "855-509-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SAWGRASS CORPORATE PKWY STE 400",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232855",
            "telephone_number": "754-757-9468",
            "fax_number": "855-509-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Sawgrass Corporate Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333232855",
            "country_code": "US",
            "telephone_number": "754-757-9468",
            "fax_number": "855-509-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "FREDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018922500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.