MEDICARE: FRANZ JOSEPH ANDERSEN MS, LMSW

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
1	104100000X	Social Worker	LMSW-39886	TX
2	104100000X	Social Worker	LMSW-39886	ID

General Provider Information

NPI Number	:	1659983278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANZ JOSEPH ANDERSEN MS, LMSW

Provider Business Mailing Address
First Line	:	3663 N LAKEHARBOR LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-6913
Country	:	US
Telephone Number	:	208-286-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	3663 N LAKEHARBOR LN
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-6913
Country	:	US
Telephone Number	:	208-286-4274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	08/17/2020

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