NPI 1285707190 · live from the CMS NPI Registry
Marguerite M Anderson, LICSW
Social Worker, Clinical in Ellsworth, WI. National Provider Identifier 1285707190, active.
NPI record
| NPI | 1285707190 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 412 W Kinne St, Ellsworth, WI 54011 |
| Practice phone | 715-273-6770 |
| Mailing address | Po Box 670, Ellsworth, WI 54011 |
| Enumerated | November 16, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 12268 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.