NPI 1093996464 · live from the CMS NPI Registry
Kaj U Anderson, SW
Social Worker in Janesville, WI. National Provider Identifier 1093996464, active.
NPI record
| NPI | 1093996464 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 35 S Main St, Janesville, WI 53545 |
| Practice phone | 608-757-5566 |
| Enumerated | November 14, 2007 |
| Last updated | November 14, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 5971-120 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.