MR. MICHAEL RICHARD ANDERSON (NPI# 1619936739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619936739 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL RICHARD ANDERSON |
| Credential | LICSW |
| Practice Address |
603 Bruce St Crookston MN 56716 |
| Mailing Address |
603 Bruce St Po Box 603 Crookston MN 56716-0603 |
| Practice Telephone | 2182813940 |
| Practice Fax Number | 2182816261 |
| Mailing Telephone | 2182813940 |
| Mailing Fax Number | 2182816261 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12676 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE MINNESOTA | 116597 | 01 |
| MN | BCBSBHSI | 9H593AN | 01 |
| PREFERRED ONE | 1029836 | 01 | |
| ND | BCBS OF ND | 17763 | 01 |
| HEALTH PARTNERS | HP28518 | 01 | |
| UBH MEDICA | 6248695 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1881234623 | Michael Anderson | Durable Medical Equipment & Medical Supplies | 1203 N Hobart St Ste 34, Pampa, TX 79065-4664 | 2020-01-09 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1679971683 | Michael Anderson | Occupational Therapist | 355 Saddlebrook Cir, Lewisville, NC 27023-8213 | 2014-12-08 |
| 1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
| 1467871517 | Michael Callum Anderson | Counselor | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2014-04-15 |
| 1871911958 | Michael Anderson | Physical Therapist | 9909 Mira Mesa Blvd Ste 260, San Diego, CA 92131-1064 | 2014-04-04 |
| Street Address |
603 BRUCE ST |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1538787841 | Justine Danielle John | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2020-07-13 |
| 1891341319 | Elizabeth Ann Murphy | Nurse Practitioner | 603 Bruce St, Crookston, MN 56716-2914 | 2019-08-12 |
| 1902369275 | Janelle Bernice Artmann | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-04-12 |
| 1770047367 | Mandy Leeann Lundby | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-01-28 |
| 1184191066 | Valerie Wagner | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2018-10-29 |
| 1245711720 | Lindsey Young | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2018-08-23 |
| 1912483397 | Amber Dawn Deere | Nurse Practitioner | 603 Bruce St, Crookston, MN 56716-2914 | 2018-07-18 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1265953053 | Martina Mlikota | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2017-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| 1700271012 | Maneesh C. Kanal | Internal Medicine | 323 S Minnesota St, Crookston, MN 56716 | 2015-04-02 |
| 1114270550 | William T Erickson | Dentist | 1726 University Ave, Crookston, MN 56716 | 2012-10-23 |
| Find all providers in zip 56716 | ||||
| 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 |
|---|---|---|---|---|
| 1720339674 | Lloyd Francis Henderson | Social Worker | 100 Gretchen Ln, Crookston, MN 56716-2602 | 2012-10-01 |
| 1538787841 | Justine Danielle John | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2020-07-13 |
| 1902369275 | Janelle Bernice Artmann | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-04-12 |
| 1770047367 | Mandy Leeann Lundby | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-01-28 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1134574726 | Angela Marie Carlson | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2016-05-02 |
| 1346613304 | Janelle Lynn Doyle | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2015-11-12 |
| 1770995052 | Sherry Murphy | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2014-05-21 |
| 1740609957 | Annie Olson | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2014-04-15 |
| 1366860041 | Richard Eugene Mosher | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2014-03-31 |
| Find all providers in CROOKSTON | ||||
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| 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.