Individual provider · Type 1 NPI

Michael Richard Anderson, LICSW

Clinical Social Worker · Crookston, MN

NPI number 1619936739 Active

Practice location

603 Bruce St
Crookston, MN 56716

Call (218) 281-3940 Map

Fax (218) 281-6261

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12676 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1619936739

Michael Richard Anderson, LICSW's National Provider Identifier is 1619936739, issued on Mar 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crookston, MN. The record was last updated on Jul 13, 2026.