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KATHLEEN R ANDERSON LISW-S LLC
NPI 1831527977
Social Worker - Clinical in Dayton, OH

Active since October 29, 2013
1055 E CENTERVILLE STATION RD, DAYTON, OH 45459(937) 439-2984(937) 439-4429 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathleen R Anderson Lisw-s Llc NPPES

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

KATHLEEN R ANDERSON LISW-S LLC (NPI 1831527977) is a healthcare organization registered as a clinical in Dayton, Ohio and active in the NPI registry since October 2013. The organization lists Kathleen R Anderson, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1831527977
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKATHLEEN R ANDERSON LISW-S LLC
Location Address1055 E CENTERVILLE STATION RDDayton, OH 45459-5500
Mailing Address7960 Clyo RdDayton, OH 45459-4835 · (937) 439-2984 · Fax (937) 439-4429
Phone(937) 439-2984
Fax(937) 439-4429
Organization SubpartNo
Authorized OfficialKathleen R AndersonOwner/provider · (937) 231-5074
Enumeration DateOctober 29, 2013
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1831527977 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 OH · I0700139
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.
1055 E CENTERVILLE STATION RD, Dayton, OH 45459
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen R Anderson Lisw-s Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kathleen R Anderson Lisw-S LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathleen Anderson, LISW-S
Clinical Social Worker
NPI 1407005804
1055 E CENTERVILLE STATION RD
Dayton, OH 45459
(937) 439-2984
✔ PECOS✔ Accepts MedicareSame address

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 Kathleen R Anderson Lisw-S LLC's NPI number?

The NPI number for Kathleen R Anderson Lisw-S LLC is 1831527977. It was assigned to this organization in the NPPES registry on October 29, 2013.

Where is Kathleen R Anderson Lisw-S LLC located?

Kathleen R Anderson Lisw-S LLC is located at 1055 E Centerville Station Rd, Dayton, OH 45459. The listed phone number is (937) 439-2984.

What is Kathleen R Anderson Lisw-S LLC's specialty?

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

Is Kathleen R Anderson Lisw-S LLC enrolled in Medicare?

Yes. Kathleen R Anderson Lisw-S LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kathleen R Anderson Lisw-S LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kathleen R Anderson Lisw-S LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kathleen R Anderson Lisw-S LLC accept?

Health plans from CareSource list Kathleen R Anderson Lisw-S LLC 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 Kathleen R Anderson Lisw-S LLC was last updated on September 27, 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.