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MR. MATTHEW GORDON ANDERSON L.C.S.W.
NPI 1760822860
Social Worker in Vicksburg, MS

Active since July 03, 2013PECOS Enrolled
1905B MISSION 66, VICKSBURG, MS 39180(601) 724-9201 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2019, Aug 24, 2016 (2 updates tracked since 2016).

About Mr. Matthew Gordon Anderson L.c.s.w. NPPES

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

MR. MATTHEW GORDON ANDERSON L.C.S.W. (NPI 1760822860) is an individual social worker in Vicksburg, Mississippi, licensed in Mississippi (M7209) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760822860
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. MATTHEW GORDON ANDERSONCredential: L.C.S.W.
Location Address1905B MISSION 66Vicksburg, MS 39180-3711
Mailing AddressPo Box 820143Vicksburg, MS 39182-0143 · (601) 326-3783 · Fax (601) 326-3766
Phone(601) 724-9201
Sole ProprietorYes
Enumeration DateJuly 3, 2013
Last NPPES UpdateJuly 9, 20192 updates tracked since enumeration
✔ NPI 1760822860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MS · M7209
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1905B MISSION 66, Vicksburg, MS 39180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew Gordon Anderson L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi- University Of Mississippi Medical Center
39 mi
End-Stage Renal Disease (ESRD) Treatment
350 W WOODROW WILSON AVE, SUITE 479
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1194930693 (601) 815-6350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Matthew Anderson's NPI number?

The NPI number for Matthew Anderson is 1760822860. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Matthew Anderson located?

Matthew Anderson practices at 1905B Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 724-9201.

What is Matthew Anderson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Matthew Anderson enrolled in Medicare?

Yes. Matthew Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Anderson reassigns Medicare benefits to State Of Mississippi- University Of Mississippi Medical Center (Jackson, MS). 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 Matthew Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Anderson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Matthew Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Anderson was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.