Healthcare Provider Details

I. General information

NPI: 1588966543
Provider Name (Legal Business Name): SARAH D. ANDERSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2010
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 SKYWAY
PARADISE CA
95969-3280
US

IV. Provider business mailing address

PO BOX 8596
CHICO CA
95927-8596
US

V. Phone/Fax

Practice location:
  • Phone: 530-877-5845
  • Fax: 530-877-3976
Mailing address:
  • Phone: 504-452-6201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: