Judith S. Anderman, MSW

Individual provider Active NPI Clinical Social Worker · Kirkwood, MO

NPI 1225052822 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1225052822
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
001706 (MO)
Practice address
343 S Kirkwood Rd
Suite200
Kirkwood, MO 63122-6195
Phone
(314) 206-3427
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

State licenses

LicenseStateTypeSpecialty
001706MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 001706 MO Yes

Addresses

Primary practice location

343 S Kirkwood Rd
Suite200
Kirkwood, MO 63122-6195

Mailing address

1430 Olive St
Suite 400
Saint Louis, MO 63103-2303
Phone (314) 206-3427

Other providers in Kirkwood, MO

All providers in Kirkwood, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.