BILLY M ANDERSON LICSW LADC NPI 1033286414

NPI Information

  • NPI: 1033286414
  • Provider Name: BILLY M ANDERSON, LICSW LADC
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22 WILSON AVE NE
    209
    SAINT CLOUD, MN
    ZIP 56304
  • Phone: (320) 259-7706

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NPI Details

Billy M Anderson, LICSW LADC is a social worker in Saint Cloud, MN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Billy M Anderson, LICSW LADC NPI is 1033286414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 WILSON AVE NE
209
SAINT CLOUD, MN
ZIP 56304-440
Phone: (320) 259-7706
Fax: (320) 251-4590

The NPI 1033286414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor300215MINNESOTANo
2104100000XSocial Worker12688MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1347720700OTHERMINNESOTAMEDICAL ASSISTANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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