NPI 1508565409 · live from the CMS NPI Registry
Sheridan Marie Anderson, MSW
Social Worker in Ontario, OR. National Provider Identifier 1508565409, active.
NPI record
| NPI | 1508565409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 992 W Idaho Ave, Ontario, OR 97914 |
| Practice phone | 208-741-3336 |
| Mailing address | 1220 S Lincoln Ave, Boise, ID 83706 |
| Enumerated | February 28, 2023 |
| Last updated | February 28, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.