MR. KEVIN D ANDERSON


Address: 461 N Mulford Rd, Condo #1, Rockford, IL 61107-5190
Phone: 8153951141

MR. KEVIN D ANDERSON (NPI# 1578751020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578751020
Entity Type Individual
Full Name MR. KEVIN D ANDERSON
Credential LCSW
Practice Address 461 N Mulford Rd
Condo #1
Rockford
IL 61107-5190
Practice Telephone 8153951141
Practice Fax Number 8153951117
Mailing Telephone 8153951141
Mailing Fax Number 8153951117
Enumeration Date 2007-10-10
Last Update Date 2007-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
IL Behavioral Health & Social Service Providers

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1427242478 Kevin Kalin Anderson Occupational Therapist 7409 Oak Ct, Horace, ND 58047-9531 2007-09-04
1215138912 Kevin M Anderson Massage Therapist 144 S Morton Ave, Apt A20, Morton, PA 19070-2059 2007-05-30
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1447307020 Kevin Edward Anderson Psychologist 4609 Glendale Ave, Toledo, OH 43614-1910 2007-01-04
1255407144 Kevin Mark Anderson Dentist 10428 Rt 47, Huntley, IL 60142-0156 2006-11-24
1861507675 Kevin K Anderson Physician Assistant 530 N 250 W, Salina, UT 84654-0129 2006-08-20

Office Location

Street Address 461 N MULFORD RD
CONDO #1
City ROCKFORD
State IL
Zip Code 61107-5190

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760477293 Ronald George Hotchkiss Chiropractor 461 N Mulford Rd, Suite 3, Rockford, IL 61107-5190 2005-09-12
1821235672 Julie K Barthels Social Worker 461 N Mulford Rd, Suite 11, Rockford, IL 61107-5190 2009-01-15
1386809820 Dlx Medical Group Inc Family Medicine 461 N Mulford Rd, Rockford, IL 61107-5190 2008-07-24
1689848541 Ignacio Omengan Pediatrics 461 N Mulford Rd, Suite #10, Rockford, IL 61107-5190 2008-04-22
1891969796 Errol C. Baptist M.d. Pediatrics 461 N Mulford Rd, Suite 4, Rockford, IL 61107-5190 2008-04-22
1982883633 Karen E Lauer Marriage & Family Therapist 461 N Mulford Rd, Condo #1, Rockford, IL 61107-5190 2007-10-30
1710176698 Jennifer Radzi Counselor 461 N Mulford Rd, Condo #1, Rockford, IL 61107-5190 2007-10-17
1083802540 Gail Logemann Marriage & Family Therapist 461 N Mulford Rd, Condo #1, Rockford, IL 61107-5190 2007-10-10
1902094469 Kevin M Polky Social Worker 461 N Mulford Rd, Condo #1, Rockford, IL 61107-5190 2007-10-10
1740471002 Cater Chiropractic Clinic PC Chiropractor 461 N Mulford Rd, Suite 3, Rockford, IL 61107-5190 2007-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306444070 Susan Glover Social Worker 65 S Main St Lowr Level, Rockford, MI 49341-1286 2020-10-14
1669085445 Lorri Ann Romesberg Social Worker 5738 Dorado Ct Ne, Rockford, MI 49341-8335 2020-08-31
1063020246 Samantha Lane Social Worker 5402 Applewood Close, Rockford, IL 61114-5490 2020-07-14
1518587872 Laura Kathleen Lindell Social Worker 4003 Mila Ave, Rockford, IL 61101-5069 2020-04-16
1548895527 Stephanie Syverson Social Worker 695 N Perryville Rd Ste 4, Rockford, IL 61107-6225 2020-03-10
1508497975 Laurie Hadler Social Worker 740 Tulip Ln, Rockford, IL 61107-5828 2020-02-03
1538708243 Nicole Elizabeth Rundall-royal Social Worker 1302 Thoren Ln, Rockford, IL 61107-2662 2019-12-27
1568006096 Bridget Denise Mcknight Social Worker 5959 Forest Trail Dr, Rockford, IL 61109-6535 2019-10-28
1538716105 Geiselhart Solution Focused Therapy, LLC Social Worker 4102 Will Ann Dr, Rockford, IL 61101-6047 2019-08-20
1548816184 Amy Hultman Social Worker 4320 Spring Creek Rd Ste 9, Rockford, IL 61107-1157 2019-08-09
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61107

Improve Information

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Dataset Information

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.

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