Doctor Name: | JENNIFER L ANDERSON |
NPI Number: | 1144529728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW017857 |
Business Practice Address: | 40 V Twin Dr Ste 202 Gettysburg, PA - 173257875 |
Business Phone Number: | 7173392710 |
Business Fax Number: | 7173392711 |
Mailing Address: | 3421 Concord Rd, YORK |
State: | PA |
Postal Code: | 174029001 |
Phone Number: | 7173392710 |
Fax Number: | 7173392711 |
NPI Enumeration Date: | 03/22/2011 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW017857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |