Healthcare Provider Details

I. General information

NPI: 1164326567
Provider Name (Legal Business Name): RASHEED ANDERSON LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 SUMMIT AVE APT 1
ALBANY NY
12209-1644
US

IV. Provider business mailing address

301 WASHINGTON AVE
ALBANY NY
12206-3091
US

V. Phone/Fax

Practice location:
  • Phone: 718-431-3654
  • Fax:
Mailing address:
  • Phone: 518-463-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number097531
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: