JEREMY EARLE ANDERSON
NPI 1962168955
Social Worker in Denver, CO

Q: What is Jeremy Anderson's NPI number?

The NPI number for Jeremy Anderson is 1962168955. It was assigned to this individual provider in the NPPES registry on November 13, 2021.

Q: What is Jeremy Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremy Anderson was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since November 13, 2021PECOS Enrolled

1355 S COLORADO BLVD STE C304, DENVER, CO 80222(720) 655-4630 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Nov 13, 2021 (2 updates tracked since 2021).

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About Jeremy Earle Anderson NPPES

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

JEREMY EARLE ANDERSON (NPI 1962168955) is an individual social worker in Denver, Colorado and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boynton Beach, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962168955

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameJEREMY EARLE ANDERSON

Location Address1355 S COLORADO BLVD STE C304Denver, CO 80222-3345

Mailing Address1355 S Colorado Blvd Ste C304Denver, CO 80222-3345 · (440) 317-3779 · Fax (720) 689-4013

Phone(720) 655-4630

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 13, 2021

Last NPPES UpdateJune 6, 20252 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1962168955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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.

1355 S COLORADO BLVD STE C304, Denver, CO 80222

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Secondary Practice Location 1

Location 12240 W Woolbright Rd Ste 408Boynton Beach, FL 33426-6367 · Phone (720) 655-4630

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Earle Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204378961

PECOS Enrollment IDI20240610001604

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.

Other Providers at the Same Location NPPES 5

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

A NEW LIGHT COUNSELING LLC

Counselor (Mental Health)