DIVINA MARIE ANDERSON (LCSW) – Clinical Social Worker, NPI 1861420895

DIVINA MARIE ANDERSON (LCSW) is a healthcare provider. based in New britain, Connecticut. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 005190 (CT). The NPI Number for DIVINA MARIE ANDERSON (LCSW) is 1861420895

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DIVINA MARIE ANDERSON (LCSW)
NPI
1861420895
Phone
(860) 229-4830
Address
92 VINE ST
Enumeration Date
29 June 2006
Last Update Date
5 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603142052
Graduation Year
2000 (26 years ago)
PAC ID
3476508821
Group Practice PAC ID
9032014758
Professional Enrollment ID
I20050317001037
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DIVINA MARIE ANDERSON (LCSW)

  • 92, Vine Street, Mount Pleasant Housing, New Britain, Hartford County, Connecticut, 06052, United States

    NEW BRITAIN, CT 060521433

    Phone: (860) 229-4830

    Fax: (860) 826-8701

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050317001037IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032014758View full group profile

Reviews

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Frequently asked questions

What is DIVINA MARIE ANDERSON (LCSW)'s NPI number?
DIVINA MARIE ANDERSON (LCSW)'s NPI is 1861420895 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DIVINA MARIE ANDERSON (LCSW)?
You should see DIVINA MARIE ANDERSON (LCSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for DIVINA MARIE ANDERSON (LCSW)?
At a glance, DIVINA MARIE ANDERSON (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Connecticut is DIVINA MARIE ANDERSON (LCSW) registered?
Use New Britain, Connecticut as the headline location for DIVINA MARIE ANDERSON (LCSW) here.
When was this NPI issued?
Enumeration for DIVINA MARIE ANDERSON (LCSW) is noted as June 29, 2006 where the registry provides it.

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