NPI 1730467242 · live from the CMS NPI Registry
Joellene Anderson, LCSW
Social Worker, Clinical in Anchorage, AK. National Provider Identifier 1730467242, active.
NPI record
| NPI | 1730467242 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 9108 Gloralee St, Anchorage, AK 99502 |
| Practice phone | 907-602-3294 |
| Enumerated | August 1, 2011 |
| Last updated | January 4, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 1350 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.