DONNA ANDERSON LICSW, PA
NPI 1720351158
Social Worker - Clinical in Roseville, MN

Q: What is Donna Anderson Licsw, PA's NPI number?

The NPI number for Donna Anderson Licsw, PA is 1720351158. It was assigned to this organization in the NPPES registry on February 15, 2012.

Q: What is Donna Anderson Licsw, PA's specialty?

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

Active since February 15, 2012

1711 COUNTY ROAD B W, SUITE 210S, ROSEVILLE, MN 55113(651) 621-2495(651) 621-2496 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Donna Anderson Licsw, Pa NPPES

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

DONNA ANDERSON LICSW, PA (NPI 1720351158) is a healthcare organization registered as a clinical in Roseville, Minnesota and active in the NPI registry since February 2012. The organization lists Donna Anderson, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1720351158

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameDONNA ANDERSON LICSW, PA

Location Address1711 COUNTY ROAD B W, SUITE 210SRoseville, MN 55113-4057

Mailing Address1711 County Road B W, Suite 210sRoseville, MN 55113-4057 · (651) 621-2495 · Fax (651) 621-2496

Phone(651) 621-2495

Fax(651) 621-2496

Organization SubpartNo

Authorized OfficialDonna AndersonPsychotherapist · (651) 621-2495

Enumeration DateFebruary 15, 2012

✔ NPI 1720351158 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 · LICSW 1288

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.

1711 COUNTY ROAD B W, Roseville, MN 55113

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINE JOYCE GJERDE PT

Physical Therapist

1711 COUNTY ROAD B W, SUITE 102 SOUTH
ROSEVILLE, MN 55113

Ramsey County (651) 635-0046

DR. MARY LYNN KITTELSON LP, JUNGIAN ANALYST

Psychologist

1711 COUNTY ROAD B W, SUITE 205-S
ROSEVILLE, MN 55113

Ramsey County (651) 276-0305

MS. NANCY KAY S BECKES LICSW

Social Worker (Clinical)

1711 COUNTY ROAD B W, 200S
ROSEVILLE, MN 55113

Ramsey County (651) 635-0477

MR. TIMOTHY EDWARD MCGUIRE LICSW, BCD

Social Worker (Clinical)

1711 COUNTY ROAD B W, SUITE 200 SOUTH
ROSEVILLE, MN 55113

Ramsey County (651) 635-0477

DONNA ANDERSON LICSW

Social Worker (Clinical)

1711 COUNTY ROAD B W, ROSEWOOD OFFICE PLAZA SUITE 210S
ROSEVILLE, MN 55113

Ramsey County (651) 621-2495

CARRIE RENEE NILES MA

Counselor (Mental Health)

1711 COUNTY ROAD B W
ROSEVILLE, MN 55113

Ramsey County (651) 982-4792

MS. CYNTHIA PACKER MSW, LICSW

Social Worker (Clinical)

1711 COUNTY ROAD B W, 100F
ROSEVILLE, MN 55113

Ramsey County (612) 306-1578

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 Donna Anderson Licsw, PA's NPI number?

The NPI number for Donna Anderson Licsw, PA is 1720351158. It was assigned to this organization in the NPPES registry on February 15, 2012.

Where is Donna Anderson Licsw, PA located?

Donna Anderson Licsw, PA is located at 1711 County Road B W Suite 210S, Roseville, MN 55113. The listed phone number is (651) 621-2495.

What is Donna Anderson Licsw, PA'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 Donna Anderson Licsw, PA was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.