Michael Richard Anderson, LICSW
NPI 1619936739ActiveIndividual· Social Worker, Clinical· Crookston, MN
Social Worker, Clinical (LICSW) in Crookston, Minnesota, trained at University of North Dakota School of Medicine (class of 1996). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1619936739 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Mar 18, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 12676 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Alluma IncCrookston, MN · 22 clinicians
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All 31 clinical social workers in Crookston · All clinical social workers in Minnesota