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NPI Code Detail

MEDICARE: MS. AMBER LYNN ANDERSON LICSW

MEDICARE: MS. AMBER LYNN ANDERSON LICSW
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 Worker32557MN

General Provider Information

NPI Number : 1053279489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMBER LYNN ANDERSON LICSW
Provider Business Mailing Address
First Line : 343 WOODLAKE DR SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6242
Country : US
Telephone Number : 507-535-5611
Fax Number : 507-535-5611
Provider Business Practice Location Address
First Line : 1620 GREENVIEW DR SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-4319
Country : US
Telephone Number : 507-289-2089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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