Wellformed AI

NPI 1649601048 · live from the CMS NPI Registry

Ray Anderson, MPH, M.Ed.

Case Manager/Care Coordinator in Fort Mill, SC. National Provider Identifier 1649601048, active.

NPI record

NPI1649601048 Type 1 · individual
StatusActive
Primary specialtyCase Manager/Care Coordinator 171M00000X
Practice location2012 Highway 160 W, Suite 16, Fort Mill, SC 29708
Practice phone980-404-2365
Mailing address2012 Highway 160 W, 16, Fort Mill, SC 29708
EnumeratedDecember 10, 2013
Last updatedJuly 1, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator primary171M00000X—
Community Health Worker172V00000X—
Health Educator174H00000X—
Social Worker104100000X—
Behavior Analyst103K00000X—

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