Kerry Anderson
Individual provider Active NPI Social Worker · Medford, NY
NPI 1992326375 · NPPES record last updated Apr 27, 2020
Key facts
- NPI
- 1992326375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 31 Industrial Blvd
Medford, NY 11763-2220 - Phone
- (631) 924-4411
- Fax
- (631) 924-4454
- NPI assigned
- Apr 27, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Yaphank Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
31 Industrial Blvd
Medford, NY 11763-2220
Mailing address
31 Industrial Blvd
Medford, NY 11763-2220
Phone (631) 924-4411
Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2020. 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.