NPI 1164458097 · live from the CMS NPI Registry
Angela Jokhi Anderson, LCSW
Social Worker, Clinical in Moore, OK. National Provider Identifier 1164458097, active.
NPI record
| NPI | 1164458097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 520 S Telephone Rd, Suite 201, Moore, OK 73160 |
| Practice phone | 405-735-6333 |
| Mailing address | 2621 Sw 93rd St, Oklahoma City, OK 73159 |
| Enumerated | June 23, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 2793 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.