IndividualActive
Song Anderson, LICSW
NPI 1669659520 · Clinical Social Worker · Champlin, MN
Song Anderson, LICSW is a Clinical Social Worker provider in Champlin, MN (NPI 1669659520).
Provider details
- NPI number
- 1669659520
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15521 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% 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
11205 Virginia Ave N
Champlin, MN 55316-3765
Phone: (763) 315-1401
Fax: (763) 315-1401
Street-level locationGet directions
Mailing address
11205 Virginia Ave. N.
Champlin, MN 55316
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2008-01-23
Frequently asked questions
- What is Song Anderson's NPI number?
- Song Anderson's National Provider Identifier (NPI) is 1669659520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Song Anderson's specialty?
- Song Anderson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Song Anderson located?
- Song Anderson's practice location on file with NPPES is 11205 Virginia Ave N, Champlin, MN 55316-3765.
- What is Song Anderson's phone number?
- The practice phone number listed in the NPPES registry for Song Anderson is (763) 315-1401.
- Is Song Anderson's NPI active?
- Yes — Song Anderson's NPI (1669659520) is active in the NPPES registry as of the last update on 2008-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.