Delores Anthony

Individual provider Active NPI Social Worker · Memphis, TN

NPI 1508091695 · NPPES record last updated May 19, 2009

Key facts

NPI
1508091695
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6240 (TN)
Practice address
3810 Winchester Rd
Memphis, TN 38118-6045
Phone
(901) 369-1420
Fax
(901) 369-1433
NPI assigned
May 19, 2009
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 6240 TN Yes

Addresses

Primary practice location

3810 Winchester Rd
Memphis, TN 38118-6045

Mailing address

5019 Boeingshire Dr
Memphis, TN 38116-8603
Phone (901) 398-8724

Other providers in Memphis, TN

All providers in Memphis, TN · Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.