MR. BENJAMIN JOSEPH ANDERSON LCSW
NPI 1669513750
Social Worker - Clinical in Ukiah, CA
About Mr. Benjamin Joseph Anderson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BENJAMIN JOSEPH ANDERSON LCSW (NPI 1669513750) is an individual clinical provider in Ukiah, California, licensed in California (22969) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Benjamin Joseph Anderson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 121 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Anderson's NPI number?
The NPI number for Benjamin Anderson is 1669513750. It was assigned to this individual provider in the NPPES registry on February 9, 2007.
Where is Benjamin Anderson located?
Benjamin Anderson practices at 333 Laws Ave, Ukiah, CA 95482. The listed phone number is (707) 468-1010.
What is Benjamin Anderson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Benjamin Anderson enrolled in Medicare?
Yes. Benjamin Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Benjamin Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Anderson reassigns Medicare benefits to Mendocino Community Health Clinic, Inc. (Ukiah, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Benjamin Anderson was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Benjamin Joseph Anderson, LCSW · NPI 1669513750
Clinical provider in Ukiah, California. Individual provider, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1669513750 (Entity type: Individual)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 22969 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 LAWS AVE, Ukiah, CA 95482-6540
- **Phone:** (707) 468-1010 · **Fax:** (707) 468-9058
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mendocino Community Health Clinic, Inc. (NPI 1811958952, Ukiah, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 3, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1669513750) · Data from the CMS NPPES public registry.