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NPI Code Detail

MEDICARE: CINDY ANDERSON LCSW

MEDICARE: CINDY ANDERSON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker16153CA

General Provider Information

NPI Number : 1639453111
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY ANDERSON LCSW
Provider Business Mailing Address
First Line : 3610 AMERICAN RIVER DR STE 140
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-5919
Country : US
Telephone Number : 916-574-1000
Fax Number : 916-574-1001
Provider Business Practice Location Address
First Line : 3610 AMERICAN RIVER DR STE 140
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-5919
Country : US
Telephone Number : 916-574-1000
Fax Number : 916-574-1001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 10/03/2011

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