CRAIG CARLISLE ANDERSON (LCSW) – Clinical Social Worker, NPI 1528144847

CRAIG CARLISLE ANDERSON (LCSW) is a healthcare provider. based in Ogden, Utah. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 51513643502 (UT). The NPI Number for CRAIG CARLISLE ANDERSON (LCSW) is 1528144847

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG CARLISLE ANDERSON (LCSW)
NPI
1528144847
Phone
(801) 625-3605
Address
237 26TH STREET
Enumeration Date
30 October 2006
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8016253700
Graduation Year
2005 (21 years ago)
PAC ID
3678661030
Group Practice PAC ID
3274430244
Professional Enrollment ID
I20071119000230
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for CRAIG CARLISLE ANDERSON (LCSW)

  • 237, 26th Street, 25th Street, Ogden, Weber County, Utah, 84401, United States

    OGDEN, UT 844013105

    Phone: (801) 625-3605

    Fax: (801) 625-3615

    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: 2007-11-19

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
I20071119000230IClinical Social WorkerUTTBD

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 84401)

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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: 3274430244View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to CRAIG CARLISLE ANDERSON (LCSW)?
NPI 1528144847 is assigned to CRAIG CARLISLE ANDERSON (LCSW) under the national enumeration system.
Is CRAIG CARLISLE ANDERSON (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CRAIG CARLISLE ANDERSON (LCSW)?
The page reflects Clinical Social Worker for CRAIG CARLISLE ANDERSON (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for CRAIG CARLISLE ANDERSON (LCSW)?
The page summarizes Ogden, Utah for CRAIG CARLISLE ANDERSON (LCSW); expand the address list for detail.
How can I contact CRAIG CARLISLE ANDERSON (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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