Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Jay Anderson Jr.

Individual provider Social Worker · NPI 1063216588

Jerry Jay Anderson Jr. is a Social Worker in Southgate, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (313) 287-4540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1063216588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

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