Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kathleen Rhodes Anderson, LISW-S

Individual provider Clinical Social Worker · NPI 1407005804

Mrs. Kathleen Rhodes Anderson, LISW-S is a Clinical Social Worker in Dayton, Ohio. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2008
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Practice location Address checks out

1055 E Centerville Station Rd
Dayton, OH 45459-5500
Phone: (937) 439-2984
Fax: (937) 439-2984
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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 I.0700139.SUPV (OH)

Record details

NPI number1407005804
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedSeptember 10, 2008
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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