Kevin R Anderson
Clinical Social Worker
2210 Jackson St
Anderson
, Indiana 46016-4363
Kevin R Anderson
Clinical Social Worker
2210 Jackson St
Anderson
, Indiana 46016-4363
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Kevin R Anderson
- 10330 N Meridian St # 300
- Indianapolis, IN
- Zip : 46290-1024
- Phone :
Second Address
- Kevin R Anderson
- 2210 Jackson St
- Anderson, IN
- Zip : 46016-4363
- Phone : (765) 683-3118
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 34000491A | IN |
National Provider Identifier
| NPI | 1003173253 |
|---|---|
| Provider Name | Kevin R Anderson |
| First Address | Indianapolis, IN 46290-1024 |
| Second Address | Anderson, IN 46016-4363 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2012 |
| Last Update Date | 09/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.