NPI 1053043398 · live from the CMS NPI Registry
Shannon M Anderson
Social Worker, Clinical in Green Bay, WI. National Provider Identifier 1053043398, active.
NPI record
| NPI | 1053043398 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1499 6th St, Green Bay, WI 54304 |
| Practice phone | 920-497-6161 |
| Enumerated | June 27, 2022 |
| Last updated | June 27, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.