NPI 1720097611 · live from the CMS NPI Registry
Michael Floyd Anderson, MS LCSW LPC
Social Worker, Clinical in Appleton, WI. National Provider Identifier 1720097611, active.
NPI record
| NPI | 1720097611 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | W6144 Aerotech Dr, Appleton, WI 54914 |
| Practice phone | 920-733-2065 |
| Mailing address | 1090 S Tamiami Trl, Sarasota, FL 34236 |
| Enumerated | August 7, 2006 |
| Last updated | December 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 3911123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.