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NPI Code Detail

MEDICARE: DARREN M ANDERSON LCSW

MEDICARE:   DARREN M ANDERSON  LCSW
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 Worker4335-CNV

General Provider Information

NPI Number : 1760542021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN M ANDERSON LCSW
Provider Business Mailing Address
First Line : 727 FAIRVIEW DR STE A
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-5493
Country : US
Telephone Number : 775-684-5000
Fax Number : 775-687-1181
Provider Business Practice Location Address
First Line : 415 HIGHWAY 95A
Second Line : BUILDING I
City : FERNLEY
State : NV
Zip : 89408-9261
Country : US
Telephone Number : 775-575-7744
Fax Number : 775-575-7769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2006
Last Update Date : 03/15/2021

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Directions to “ DARREN M ANDERSON LCSW” Practice Location

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