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NPI 1083655021 · live from the CMS NPI Registry

Donald Anderson, LCSW

Social Worker, Clinical in Oklahoma City, OK. National Provider Identifier 1083655021, active.

NPI record

NPI1083655021 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location5725 S Ross Ave, Oklahoma City, OK 73119
Practice phone405-685-4791
Mailing address4001 Knights Bridge St, Norman, OK 73072
EnumeratedJune 9, 2006
Last updatedDecember 16, 2009
Sole proprietorNo
Other namesDon Anderson

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X3090 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.