Nancy Anderson, LISW

Individual provider Active NPI Clinical Social Worker · Sylvania, OH

NPI 1861671992 · NPPES record last updated Mar 27, 2008

Key facts

NPI
1861671992
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0005762 (OH)
Practice address
5151 Main St
Sylvania, OH 43560-2184
Phone
(419) 882-5000
Fax
(419) 882-5008
NPI assigned
Oct 25, 2007
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
0005762OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0005762 OH Yes

Addresses

Primary practice location

5151 Main St
Sylvania, OH 43560-2184

Mailing address

5151 Main St
Sylvania, OH 43560-2184
Phone (419) 882-5000

Other providers in Sylvania, OH

All providers in Sylvania, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.