Healthcare Provider Details

I. General information

NPI: 1831979947
Provider Name (Legal Business Name): MESHA T ANDERSON LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6847 STEWART RD APT 403
CINCINNATI OH
45236-0717
US

IV. Provider business mailing address

6847 STEWART RD APT 403
CINCINNATI OH
45236-0717
US

V. Phone/Fax

Practice location:
  • Phone: 513-713-3277
  • Fax:
Mailing address:
  • Phone: 513-713-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2411229
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberS.2302986-TRNE
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: