Paul W. Anderson, Inc.
Organization Active NPI Clinical Social Worker · Bluffton, SC
NPI 1770525461 · NPPES record last updated Jul 20, 2016
Key facts
- NPI
- 1770525461
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10335 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Pamela P. Anderson, MSW, LISW-CP
- Title
- Clinical Social Worker/Owner
- Phone
- (843) 422-1408
Practitioners 2
-
Pamela P. Anderson, MSW, LISW-CP
-
Paul W. Anderson, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140326000042 | KS | Part B Supplier - Clinic/Group Practice | 1557592094 |
Receives reassigned benefits from 2 practitioners Practice locations: Overland Park, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 10335 | SC | Yes |
| Clinical Social Worker |
1041C0700X | 1055 | KS |
Addresses
Primary practice location
49 Westbury Park Way
Bluffton, SC 29910-8824
Mailing address
49 Westbury Park Way
Bluffton, SC 29910-8824
Phone (843) 422-1408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E270 | Other | SC | PTAN |
Other providers in Bluffton, SC
- Kamal J Patel
- Rinku Navin Patel
- Jaime L Patillo
- Kaylee Patterson
- Colleen Hill Patton
- Rosanne M Paul
- Taylor Paul
- Kelsey Elizabeth Pauley
- Madison Pawley
- Peace of Mind in Home Care
All providers in Bluffton, SC · Clinical Social Worker 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 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.