Stacy Marie Anderson, MSW, LICSW
NPI 1689441735ActiveIndividual· Social Worker, Clinical· Duluth, MN
Social Worker, Clinical (MSW, LICSW) with Human Development Center, practicing in Duluth, Minnesota. Medicare paid $10,140 for services to 20 patients in 2024.
Overview
| NPI | 1689441735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW |
| Sole proprietor | No |
| NPI issued | Dec 8, 2023 |
| Last updated in NPPES | Dec 8, 2023 |
| Certified by provider | Dec 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 32502 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 176 across 5 procedure codes |
| Paid by Medicare | $10,140 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Human Development CenterTwo Harbors, MN · 35 clinicians
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