NPI 1003509720 · live from the CMS NPI Registry
Shalyce Anderson
Social Worker in Twin Falls, ID. National Provider Identifier 1003509720, active.
NPI record
| NPI | 1003509720 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 801 Pole Line Rd W, Twin Falls, ID 83301 |
| Practice phone | 208-670-5214 |
| Enumerated | May 30, 2023 |
| Last updated | May 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | LMSW-42603 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.