Paul W. Anderson, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10335 Issued in SC

Legal business name

PAUL W. ANDERSON, INC.

Practice address

49 Westbury Park Way
Bluffton, SC 29910-8824

Phone

(843) 422-1408

Fax

(843) 815-2023

NPI assigned

Jun 10, 2006

Last updated

Jul 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela P. Anderson, MSW, LISW-CPNPI 1487682761

Title

Clinical Social Worker/Owner

Phone

(843) 422-1408

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela P. Anderson, MSW, LISW-CP

  • Clinical Social Worker
  • Bluffton, SC
  • NPI 1487682761

  KS

  Medicare reassignment Care Compare group Authorized official
• Paul W. Anderson, PH.D.

  • Counseling Psychologist
  • Overland Park, KS
  • NPI 1235166604
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1770525461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WESTBURY PARK WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108824",
            "telephone_number": "843-422-1408",
            "fax_number": "843-815-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WESTBURY PARK WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108824",
            "telephone_number": "843-422-1408",
            "fax_number": "843-815-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W. ANDERSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "843-422-1408",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10335",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal J Patel, MD
• Rinku Navin Patel, OD
• Jaime L Patillo, OTR/L
• Kaylee Patterson, PA-C
• Colleen Hill Patton, PA
• Rosanne M Paul, DO
• Taylor Paul, D.C.
• Kelsey Elizabeth Pauley, DPT
• Madison Pawley
• Peace of Mind in Home Care

• Clinical Social Worker in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.