What is Jerry Anderson's NPI number?

Jerry Anderson's National Provider Identifier (NPI) is 1063216588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerry Anderson's specialty?

Jerry Anderson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Jerry Anderson located?

Jerry Anderson's practice location on file with NPPES is 14799 Dix Toledo Rd, Southgate, MI 48195-2507.

What is Jerry Anderson's phone number?

The practice phone number listed in the NPPES registry for Jerry Anderson is (313) 287-4540.

Is Jerry Anderson's NPI active?

Yes — Jerry Anderson's NPI (1063216588) is active in the NPPES registry as of the last update on 2025-04-03.

IndividualActive

Jerry Anderson

NPI 1063216588 · Social Worker · Southgate, MI

Jerry Anderson is a Social Worker provider in Southgate, MI (NPI 1063216588).

Provider details

NPI number: 1063216588
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

14799 Dix Toledo Rd

Southgate, MI 48195-2507

Phone: (313) 287-4540

Street-level locationGet directions

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Mailing address