MARVIN NEIL ANDERSON (NPI# 1770645285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770645285 |
| Entity Type | Individual |
| Full Name | MARVIN NEIL ANDERSON |
| Credential | LCSW |
| Practice Address |
5158 Stage Rd Suite 120 Memphis TN 38134-3116 |
| Practice Telephone | 9013779867 |
| Practice Fax Number | 9013779866 |
| Mailing Telephone | 9013779867 |
| Mailing Fax Number | 9013779866 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW4110 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | VALUE OPTIONS PROVIDER # | 500566 | 01 |
| TN | 3925891 | 05 | |
| TN | BLUECROSS BLUESHIELD # | 4110408 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487794806 | Marvin L Anderson | Dentist | 2814 Woodruff Rd, Simpsonville, SC 29681-4806 | 2007-02-07 |
| 1174681670 | Marvin G Anderson | Chiropractor | 66 1st St Ste A, Gilroy, CA 95020-5140 | 2006-12-05 |
| 1962487926 | Marvin Paul Anderson | Dentist | Us Army Dental Activity, 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5005 | 2005-12-13 |
| 1992264477 | Marvin Glen Anderson Jr. | Behavior Technician | 7226 Sepulveda Blvd, Van Nuys, CA 91405-2003 | 2019-03-14 |
| 1598741522 | Marvin Anderson | Internal Medicine | 1028 Hannah Ave, Ste D, Traverse City, MI 49686-2963 | 2005-12-21 |
| Street Address |
5158 STAGE RD SUITE 120 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587470 | Lisa Maners | Counselor | 5158 Stage Rd, Memphis, TN 38134-3116 | 2016-02-01 |
| 1124310008 | Claycon, LLC | Counselor | 5158 Stage Rd, Suite 130, Memphis, TN 38134-3116 | 2011-05-10 |
| 1285951731 | Donald William Anderson | Counselor | 5158 Stage Rd, Suite 120, Memphis, TN 38134-3116 | 2010-04-23 |
| 1538326079 | Kathryn S Skinner | Registered Nurse | 5158 Stage Rd, Suite 120, Memphis, TN 38134-3116 | 2008-05-21 |
| 1295879609 | Carol Ann Risher | Counselor | 5158 Stage Rd, Suite 120, Memphis, TN 38134-3116 | 2007-02-18 |
| 1891851291 | Timothy Lee Smith | Counselor | 5158 Stage Rd, Suite 120, Memphis, TN 38134-3116 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| 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 |
|---|---|---|---|---|
| 1942814306 | Hinda Rashki Osina | Social Worker | 5344 Brantford Ave, Memphis, TN 38120-2440 | 2020-09-03 |
| 1740893130 | Longmire Counseling Services, LLC | Social Worker | 1331 Union Ave Ste 1012, Memphis, TN 38104-7509 | 2020-08-26 |
| 1619595519 | Pha'meshia Calico | Social Worker | 3687 Paradise Lake Drive, Memphis, TN 38115-3811 | 2020-07-08 |
| 1609404599 | Amanda Lorelle Gitomer | Social Worker | 5395 Estate Office Dr Ste 15395, Memphis, TN 38119-0614 | 2020-03-28 |
| 1730748476 | Anne Renee Dillard | Social Worker | 5050 Poplar Ave Ste 1118, Memphis, TN 38157-1118 | 2019-06-06 |
| 1477111797 | Karen Elaine Dotson | Social Worker | 1039 Bluebird Rd, Memphis, TN 38116-4003 | 2019-06-01 |
| 1689150393 | Lauren Byrd Hansen | Social Worker | 4136 Philwood Ave, Memphis, TN 38122-3913 | 2018-07-16 |
| 1487164356 | Robert Brian Dove | Social Worker | 4515 Poplar Ave Ste 419, Memphis, TN 38117-7508 | 2017-10-05 |
| 1760991038 | Crystal Dinesse Deberry | Social Worker | 4821 American Way Ste 200g, Memphis, TN 38118-2471 | 2017-09-29 |
| 1780103010 | Brittney Scantling | Social Worker | 1689 Nonconnah Blvd Ste 100, Memphis, TN 38132-2111 | 2017-09-19 |
| Find all providers in MEMPHIS | ||||
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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.