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

MS. Tavia Lynne Anderson

Individual provider Social Worker · NPI 1053709675

MS. Tavia Lynne Anderson is a Social Worker in Bloomington, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
Specialties on file
6
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Practice location Address checks out

2400 W 102nd St Apt 101
Bloomington, MN 55431-3359
Phone: (612) 203-4535
Fax: (952) 217-4427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence J430163453007 (MN)
Social Worker Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Home Health Agency Taxonomy 251E00000X
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1053709675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2015
Last updated in NPPESMarch 17, 2021
Certification dateFebruary 24, 2021

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