Cody Anderson

Individual provider Active NPI Case Manager/Care Coordinator · Steubenville, OH

NPI 1447744818 · NPPES record last updated Jun 19, 2018

Key facts

NPI
1447744818
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
CDCA.166637 (OH)
Practice address
1010 N 6TH Ave
Steubenville, OH 43952-1846
Phone
(330) 424-1468
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
CDCA.166637OHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Family Recovery Center Past Accepting new patients
Family Recovery Center Past
since Apr 1, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CDCA.166637 OH Yes

Addresses

Primary practice location

1010 N 6TH Ave
Steubenville, OH 43952-1846

Mailing address

964 N Market St
Lisbon, OH 44432-9363
Phone (330) 424-1468

Other identifiers

IdentifierTypeStateIssuer
CDCA.166637OtherOHCHEMICAL DEPENDENCY PROFESSIONALS BOARD

Other providers in Steubenville, OH

All providers in Steubenville, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.