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

Mr. Michael Richard Anderson, LICSW

Individual provider Clinical Social Worker · NPI 1619936739

Mr. Michael Richard Anderson, LICSW is a Clinical Social Worker in Crookston, Minnesota. Graduated from University of North Dakota School of Medicine in 1996, 30 years ago. Practices with Alluma Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
30
Trained at
University of North Dakota School of Medicine
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

603 Bruce St
Crookston, MN 56716
Phone: (218) 281-3940
Fax: (218) 281-6261
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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 12676 (MN)

Record details

NPI number1619936739
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 18, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Alluma Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crookston