Dennis J Anderson in Port Washington - Clinical

Dennis J Anderson - NPI 1265479257

Dennis J Anderson is a Clinical in Port Washington, Wisconsin. Dennis J Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dennis J Anderson is 1265479257. The last update date is 2007-10-18.

Dennis J Anderson's current location address is 1317 W Grand Ave, Port Washington, Wisconsin. You can contact this provider via phone number 2622845789 and fax number 2622845907. The mailing address for Dennis J Anderson is 1317 W Grand Ave, Port Washington, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Dennis J Anderson
Address 1317 W Grand Ave, Port Washington, Wisconsin
Phone Number 2622845789
Fax Number 2622845907
Sole Proprietor N
Credentials LCSW CADCI

NPI Number Detail

NPI Number 1265479257
Provider Enumeration Date 2006-05-31
Last Updated Date 2007-10-18

Provider Mailing Address Detail

Address 1317 W Grand Ave
City Port Washington
State Wisconsin (WI)
Post Code 530742075
Phone Number 2622845789
Fax Number 2622845907

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 3072-123
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39730700 WI --

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FAQs about Dennis J Anderson

What is the unique provider identifier assigned to Dennis J Anderson?

The Dennis J Anderson has been issued the NPI (National Provider Identifier) 1265479257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Dennis J Anderson's facilities are situated?

The facilities of Dennis J Anderson are physically located at the following address: 1317 W Grand Ave, Port Washington, WI, 530742075.

What is Dennis J Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dennis J Anderson is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When did Dennis J Anderson receive its 1265479257 assignment?

The Dennis J Anderson was assigned its 1265479257 on 2006-05-31, which is the date when this unique identifier was issued to the organization.

When was the Dennis J Anderson's information last updated?

The Dennis J Anderson's information was last updated on 2007-10-18.

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