MS. DORIS STALLS ANDERSON (NPI# 1952320210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952320210 |
| Entity Type | Individual |
| Full Name | MS. DORIS STALLS ANDERSON |
| Credential | LCSW |
| Practice Address |
6168 1st Ave N St Petersburg FL 33710-8515 |
| Mailing Address |
1620 Park St N St Petersburg FL 33710-4348 |
| Practice Telephone | 7273477353 |
| Mailing Telephone | 7273470354 |
| Mailing Fax Number | 7273432400 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW1689 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952947947 | Doris Evelyn Anderson | Licensed Practical Nurse | 5700 172nd St Ne, Arlington, WA 98223-7742 | 2019-11-25 |
| 1972886596 | Doris Marie Anderson | Pharmacist | 101 8th St Se, Altoona, IA 50009-1938 | 2011-09-20 |
| 1295894350 | Doris C Anderson | Counselor | 1 Quality Dr, Mob A, Ped 1, Vacaville, CA 95688-9494 | 2006-12-06 |
| Street Address |
6168 1ST AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 |
|---|---|---|---|---|
| 1073124582 | Nicholas Alexander Diaz | Social Worker | 1701 Central Ave Unit 251, St Petersburg, FL 33713-8971 | 2020-08-10 |
| 1255953444 | Olivia Bailey | Social Worker | 190 112th Ave N Apt 1129, St Petersburg, FL 33716-3269 | 2020-05-11 |
| 1417578295 | Grace Willms | Social Worker | 3530 1st Ave N Ste 111, St Petersburg, FL 33713-8422 | 2020-05-03 |
| 1730717638 | River Birch Wellness LLC | Social Worker | 4763 1st Ave S, St Petersburg, FL 33711-1005 | 2020-03-28 |
| 1740823400 | Resolution Today | Social Worker | 1700 Park St N Ste 109, St Petersburg, FL 33710-4300 | 2019-10-24 |
| 1992362735 | Rahim Samji | Social Worker | 3010 Fairfield Ave S, St Petersburg, FL 33712-1543 | 2019-05-28 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1982109484 | Stefanie Von Ohlen LLC | Social Worker | 900 Central Ave # 302, St Petersburg, FL 33705-1647 | 2018-03-27 |
| 1306340112 | Premier Counseling and Wellness LLC | Social Worker | 3831 Tyrone Blvd N Ste 201c, St Petersburg, FL 33709-4114 | 2018-03-19 |
| 1184148439 | Christine Marie Pena | Social Worker | 209 9th Ave N, St Petersburg, FL 33701-1705 | 2017-07-28 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.