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MRS. SONG LOR ANDERSON LICSW
NPI 1669659520
Social Worker - Clinical in Champlin, MN

Active since January 23, 2008
11205 VIRGINIA AVE N, CHAMPLIN, MN 55316(763) 315-1401(763) 315-1401 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Song Lor Anderson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SONG LOR ANDERSON LICSW (NPI 1669659520) is an individual clinical provider in Champlin, Minnesota, licensed in Minnesota (15521) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1669659520
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SONG LOR ANDERSONCredential: LICSW
Location Address11205 VIRGINIA AVE NChamplin, MN 55316-3765
Mailing Address11205 Virginia Ave. N.Champlin, MN 55316 · (763) 315-1401 · Fax (763) 315-1401
Phone(763) 315-1401
Fax(763) 315-1401
Sole ProprietorYes
Enumeration DateJanuary 23, 2008
✔ NPI 1669659520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 15521
Definition
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.
11205 VIRGINIA AVE N, Champlin, MN 55316
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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 Song Anderson's NPI number?

The NPI number for Song Anderson is 1669659520. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Song Anderson located?

Song Anderson practices at 11205 Virginia Ave N, Champlin, MN 55316. The listed phone number is (763) 315-1401.

What is Song Anderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Song Anderson was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.