Wellformed AI

NPI 1891753125 · live from the CMS NPI Registry

Stephen L Anderson, LCSW

Social Worker, Clinical in Milwaukee, WI. National Provider Identifier 1891753125, active.

NPI record

NPI1891753125 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1032 S 16th St, Suite 219, Milwaukee, WI 53204
Practice phone414-672-3145
Mailing address2906 S 20th St, Suite 219, Milwaukee, WI 53215
EnumeratedMay 3, 2006
Last updatedFebruary 7, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X976123 (WI)

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