Dominique Anson
Individual provider Active NPI School Social Worker · Cleveland, TN
NPI 1083203129 · NPPES record last updated Jan 13, 2021
Key facts
- NPI
- 1083203129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- Practice address
- 4160 Ocoee St N Ste 8
Cleveland, TN 37312-4886 - Phone
- (423) 464-4357
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Yes |
Addresses
Primary practice location
4160 Ocoee St N Ste 8
Cleveland, TN 37312-4886
Mailing address
4160 Ocoee St N Ste 8
Cleveland, TN 37312-4886
Phone (423) 464-4357
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2021. 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.