Donna Marie Anderson, MSW, QMHP
Individual provider Active NPI Clinical Social Worker · Gresham, OR
NPI 1053335398 · NPPES record last updated Nov 28, 2007
Key facts
- NPI
- 1053335398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 400 NE 7TH St
Gresham, OR 97030-5604 - Phone
- (503) 661-5455
- Fax
- (503) 661-4959
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Yes | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07-09-02 | OR |
Addresses
Primary practice location
400 NE 7TH St
Gresham, OR 97030-5604
Mailing address
130 NW Linneman Ave
Gresham, OR 97030
Phone (503) 260-6809
Other providers in Gresham, OR
- Amplife Chiropractic and Sports Chiropractic
- Joseph Jungho An
- David Arthur Andersen
- Elijah Andersen
- Anderson Therapeutic Massage Clinic
- Drew N Anderson
- James Robert Anderson
- Jarren James Troy Anderson
- Krystle Anderson
- Lori Ann Anderson
All providers in Gresham, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.