Todd Michael Anderson · Clinical Social Worker

654 South 12th Street, San Jose, CA 95112

Overview

Todd Michael Anderson is a Clinical Social Worker practicing in San Jose, California. The National Provider Identifier (NPI) is #1174309025, which was assigned on September 6, 2023, and the registration record was last updated on September 6, 2023. The practitioner's main practice location is at 654 South 12th Street, San Jose, CA 95112; the contact telephone number is 4087079483. The primary taxonomy of Todd Michael Anderson is Clinical Social Worker (1041C0700X), with specialization in Clinical. Todd Michael Anderson is licensed to practice in the state of California (#116667).

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.

Provider Information

NPI 1174309025
Entity Type Individual
Provider Name TODD MICHAEL ANDERSON
Gender Male
Credential MSW
Practice Address 654 South 12th Street
San Jose
CA 95112
Practice Telephone 4087079483
Mailing Address 654 South 12th Street
San Jose
CA 95112
Mailing Telephone 4087079483
Certification Date 2023-09-06
Enumeration Date 2023-09-06
Last Update Date 2023-09-06
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1041C0700XSocial WorkerClinical193400000X SINGLE SPECIALTY GROUP116667CA

Taxonomy Information

Primary Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Meredith Bergman 183 Smith Ridge Rd, New Canaan, CT 06840-3620Clinical Social Worker2026-06-05
Sarah Taylor 7901 Metropolis Dr, Austin, TX 78744-3111Clinical Social Worker2026-06-06
Cameron Riolo 199 Rosewood Dr Ste 300, Danvers, MA 01923-1388Clinical Social Worker2026-06-05
Olivia Marie Murphy 17185 Valley View Rd, Eden Prairie, MN 55346-4252Clinical Social Worker2026-06-05
Kathryn Van Der Merwe · Kate Van Der Merwe 509 W 110th St Apt 8e, New York, NY 10025-2036Clinical Social Worker2026-06-06
Roderick Denetso 2001 N Cochiti Ave, Farmington, NM 87401-4237Clinical Social Worker2026-06-05
Hannah E Bernard 2331 Fortune Dr Ste 225, Lexington, KY 40509-4703Clinical Social Worker2026-06-06
Emily Frances Singh 513 Kingston Hall Ct, Hampton, VA 23663-1926Clinical Social Worker2026-06-06
Exhale Therapy PLLC 819 S Auburn St, Kennewick, WA 99336-5661Clinical Social Worker2026-06-06
Samantha Eden Thompson 7218 384th St, North Branch, MN 55056-5801Clinical Social Worker2026-06-06
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Location Information

Street Address 654 SOUTH 12TH STREET
City SAN JOSE
State CA
Zip Code 95112
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Emily Hughes 1144 S Second St, San Jose, Ca 95112, Usa, Suite 110, San Jose, CA 95112Mental Health Counselor2023-11-17
Brandon Thomas Nguyen 1901 Monterey Rd, Ste 10, San Jose, CA 95112Physician Assistant2024-11-14
Cardiovision Imaging Group 557 N 18th St, San Jose, CA 95112Diagnostic Ultrasound Physician2023-07-11
Juan Carlos Mercado 290 North 2nd St, San Jose, CA 95112Marriage & Family Therapist2019-12-16
Denny Khanh Pham 557 N 18th Street, San Jose, CA 95112Sonography Radiologic Technologist2023-06-07
Arundeep Kaur Dhillon 160 E Virginia Street Suite 100, San Jose, CA 95112Mental Health Counselor2017-08-29
Dennis Robert Haysley 1080 North 7th Street, 1080 North 7th Street, San Jose, CA 95112Mental Health Counselor2017-06-15
Path (People Assisting The Homeless) 290 N. 2nd Street San Jose Ca, San Jose, CA 95112Case Manager/Care Coordinator2019-11-06
Eric Gonzales 232 East Gish Rd, San Jose, CA 95112Case Manager/Care Coordinator2017-08-02
Theresa Khong 1887 Monterey Hwy. Suite 225, San Jose, CA 95112Behavior Technician2018-03-01
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.