Ray Anderson Jr., MPH, M.ED.
Individual provider Active NPI Case Manager/Care Coordinator · Fort Mill, SC
NPI 1649601048 · NPPES record last updated Jul 1, 2015
Key facts
- NPI
- 1649601048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2012 Highway 160 W
Suite 16
Fort Mill, SC 29708-8401 - Phone
- (980) 404-2365
- Fax
- (803) 403-8916
- NPI assigned
- Dec 10, 2013
- Sex
- Male
- 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
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Social Worker | 104100000X | |||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
2012 Highway 160 W
Suite 16
Fort Mill, SC 29708-8401
Mailing address
2012 Highway 160 W
16
Fort Mill, SC 29708-8401
Phone (314) 518-0042
Other providers in Fort Mill, SC
- Amy Anderson
- Charlotte Joan Anderson
- Chelsea Jasper Anderson
- Kathleen Lynn Anderson
- Naomi Anderson
- Another Ones Treasures
- Jade Anne Anselmi
- April Wilson Ansley
- Iulia Antonie
- Maurya Applegate
All providers in Fort Mill, SC · Case Manager/Care Coordinator in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.