Kary Anderson, LISW
Individual provider Active NPI Clinical Social Worker · Ashland, OH
NPI 1154528255 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154528255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I0700158 (OH)
- Practice address
- 1590 Crestview Dr
Ashland, OH 44805-3560 - Phone
- (419) 289-0970
- Fax
- (419) 289-8579
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0700158 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Children'S Home of Ohio | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/cchoo/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0700158 | OH | Yes |
Addresses
Primary practice location
1590 Crestview Dr
Ashland, OH 44805-3560
Mailing address
PO Box 765
Wooster, OH 44691-0765
Phone (330) 345-7949
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10042 | Medicaid | OH |
Other providers in Ashland, OH
- Cynthia S Agee
- James Richard Allman
- Alpha Dental
- Michelle Lynn Amos
- Christie L Anderson
- Apex Rehabilitation and Healthcare Solutions
- Appleseed Community Mental Health
- Appleseed Community Mental Health Center Inc
- Appleseed Community Mental Health Center Inc
- Tyler Arter
All providers in Ashland, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.