Anderson Development Licensed Clinical Social Worker Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29867 Issued in CA

Legal business name

ANDERSON DEVELOPMENT LICENSED CLINICAL SOCIAL WORKER INC

Doing business as

The Anderson Center for Personal Development

Practice address

21151 S Western Ave Ste 174
Torrance, CA 90501

Phone

(310) 745-8847

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Glenna Anderson, LCSW

Title

Owner

Phone

(310) 745-8847

Specialties & licenses 1

Addresses

Other names 1

• The Anderson Center for Personal Development Doing business as

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932638376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21151 S WESTERN AVE STE 174",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011724",
            "telephone_number": "310-745-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21151 S WESTERN AVE STE 174",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-745-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DEVELOPMENT LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-745-8847",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Anderson Center for Personal Development",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Anderson Center for Personal Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Roy Anavian, D.P.M.
• Janice Casamina Ancheta, M.D.
• Mark Ventura Ancheta, M.D.
• Virginia Lou Anders - Ellmore, M. N., N.P.
• Kristen Nicole Andersen, M.D.
• Andrea Marie Anderson, M.S. SLP
• Brooke Michelle Anderson
• Donna Shaleese Anderson
• Dora Cleo Anderson, R.N.
• Erin Anderson

• Clinical Social Worker in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.