Joan Andersonllc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOAN ANDERSONLLC

Practice address

4100 Hoodridge LN
Mint Hill, NC 28227-9327

Phone

(352) 552-7897

NPI assigned

Jun 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Joan Lee Anderson, LCSW

Title

Manager

Phone

(342) 552-7897

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1497370522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HOODRIDGE LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279327",
            "telephone_number": "352-552-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HOODRIDGE LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279327",
            "telephone_number": "352-552-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN ANDERSONLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "342-552-7897",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Douglas E. Jordan, DC
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• Clinical Social Worker in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.