Dana Suzette Anderson, L.I.S.W.

Individual provider Active NPI Clinical Social Worker · Cedar Rapids, IA

NPI 1609345446 · NPPES record last updated May 8, 2023

Key facts

NPI
1609345446
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
01752 (IA)
Practice address
3500 Dalton Way SW
Cedar Rapids, IA 52404-2564
Phone
(319) 369-4340
Fax
(319) 369-4341
NPI assigned
Nov 23, 2018
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)
Yes

State licenses

LicenseStateTypeSpecialty
01752IAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 01752 IA Yes

Addresses

Primary practice location

3500 Dalton Way SW
Cedar Rapids, IA 52404-2564

Mailing address

600 7TH St SE Ste 101
Cedar Rapids, IA 52401-2125
Phone (319) 398-6860

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · Clinical Social Worker in Iowa

Sources for this page

Verify at the official NPI Registry.