Lourdes Maria Anduiza, LCSW

Individual provider Active NPI Clinical Social Worker · Charlotte, NC

NPI 1457566945 · NPPES record last updated Sep 14, 2022

Key facts

NPI
1457566945
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C010268 (NC)
Practice address
218 E Tremont Ave Ste B
Charlotte, NC 28203-5364
Phone
(980) 216-4894
NPI assigned
May 10, 2007
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

State licenses

LicenseStateTypeSpecialty
C010268NCMDClinical Social Worker
066923NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C010268 NC Yes
Clinical Social Worker 1041C0700X 066923 NY

Addresses

Primary practice location

218 E Tremont Ave Ste B
Charlotte, NC 28203-5364

Mailing address

218 E Tremont Ave Ste B
Charlotte, NC 28203-5364
Phone (980) 216-4894

Other providers in Charlotte, NC

All providers in Charlotte, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.