DENNIS J ANDERSON (NPI# 1265479257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265479257 |
| Entity Type | Individual |
| Full Name | DENNIS J ANDERSON |
| Credential | LCSW CADCIII |
| Practice Address |
1317 W Grand Ave Port Washington WI 53074-2075 |
| Practice Telephone | 2622845789 |
| Practice Fax Number | 2622845907 |
| Mailing Telephone | 2622845789 |
| Mailing Fax Number | 2622845907 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2249 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3072-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39730700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922258474 | Dennis Lee Anderson | Family Medicine | 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 | 2008-09-21 |
| 1043422538 | Dennis Lloyd Anderson | Dentist | 3987 El Sarino Ct, Homer, AK 99603-7511 | 2007-05-04 |
| 1528284718 | Dennis Robert Anderson | Counselor | 223 N Wahsatch Ave Ste 202, Colorado Springs, CO 80903-3481 | 2007-04-17 |
| 1831266121 | Dennis Michael Anderson | Dentist | 3635 N 129th St, Omaha, NE 68164-5211 | 2006-11-29 |
| 1699865790 | Dennis Walwyn Anderson | Optometrist | 1901 S 72nd St, Suite 17, Tacoma, WA 98408-1200 | 2006-10-13 |
| 1689764680 | Dennis Anderson | Chiropractor | 968 Columbia St, Hudson, NY 12534-2626 | 2006-10-13 |
| 1710098678 | Dennis Walter Anderson | Counselor | 905 W Riverside Ave Ste 607, Spokane, WA 99201-1099 | 2006-08-31 |
| 1265460067 | Dennis Roy Anderson | Internal Medicine | 132 Westbury Pl, Suite 221, Columbia, SC 29212-8351 | 2006-06-29 |
| 1386689628 | Dennis Rolland Anderson | Family Medicine | 1601 5th Ave, Suite 830, Seattle, WA 98101-3621 | 2006-06-19 |
| 1891782710 | Dennis Leland Anderson | Optometrist | 100 E 12th St, Jeffersonville, IN 47130-3834 | 2005-10-05 |
| Street Address |
1317 W GRAND AVE |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497716880 | John P Bonavia | Family Medicine | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2006-03-28 |
| 1134677669 | Bonnie Halper | Counselor | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2016-09-13 |
| 1104373323 | Marcy Drummy | Counselor | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2016-09-06 |
| 1497049969 | Forefront Dermatology, S.c. | Dermatology | 1317 W Grand Ave, Suite 5, Port Washington, WI 53074 | 2011-06-02 |
| 1982840757 | Ebonie Gray | Registered Nurse | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2008-12-30 |
| 1003955972 | Neal Z. Potash | Social Worker | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2007-02-06 |
| 1144232125 | Kim Marie Rasmussen | Occupational Therapist | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2006-08-11 |
| 1821005406 | Jacqueline Weeden | Social Worker | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2006-08-03 |
| 1770599953 | Jeffrey Joseph Bongiorno | Podiatrist | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2006-07-31 |
| 1154365336 | Teresa Lin Braun | Speech-Language Pathologist | 1317 W Grand Ave, Port Washington, WI 53074-2075 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416688 | Joan Salmon | Social Worker | 30 Plymouth Rd, Port Washington, NY 11050-4330 | 2019-06-19 |
| 1053801076 | Debra J Brodsky | Social Worker | 39 Yennicock Ave # 1, Port Washington, NY 11050-2130 | 2018-05-15 |
| 1356790612 | Amy Lynn Roth | Social Worker | 11 Orchard Farm Rd, Port Washington, NY 11050-3309 | 2016-06-08 |
| 1508213356 | Josephine R Feldman | Social Worker | 77 Country Club Dr, Port Washington, NY 11050-4535 | 2016-05-23 |
| 1609241702 | Nicole Brill Lcsw-r | Social Worker | 47 Essex Ct, Port Washington, NY 11050-4222 | 2015-12-01 |
| 1710392121 | Joshua Michael Ring | Social Worker | 97 Davis Rd, Port Washington, NY 11050-3810 | 2014-06-24 |
| 1750702106 | Nicole D Asselta | Social Worker | 19 Winthrop Rd, Port Washington, NY 11050-4418 | 2014-01-01 |
| 1316217508 | Krista Diaso | Social Worker | 150 Bayview Ave, Port Early Childhood and Family Therapy, Port Washington, NY 11050-3620 | 2012-01-05 |
| 1073894432 | Jane B. Weiler | Social Worker | 130 Bayview Ave, Port Washington, NY 11050-3618 | 2011-08-30 |
| 1194026369 | Sim Ezratty | Social Worker | 26 Salem Ln, Port Washington, NY 11050-4334 | 2010-11-04 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on DENNIS J ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.