Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Donna Anderson, LICSW

Individual provider Clinical Social Worker · NPI 1669491908

Donna Anderson, LICSW is a Clinical Social Worker in Roseville, Minnesota. Qualified in 1976, 50 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
50
Licensed in
MN
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1711 County Road B W Rosewood Ofc Plaza Ste 210S
Roseville, MN 55113-4057 Not confirmed with CMS for 14 years — call before visiting
Phone: (651) 621-2495
Fax: (651) 621-2496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1288 (MN)

Record details

NPI number1669491908
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESNovember 8, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients21
Services billed 299 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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