MEDICARE: MRS. GLENNA PATRICE 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
1	104100000X	Social Worker
2	225400000X	Rehabilitation Practitioner
3	1041C0700X	Clinical Social Worker	29867	CA

General Provider Information

NPI Number	:	1801948195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GLENNA PATRICE ANDERSON LCSW

Provider Business Mailing Address
First Line	:	2500 WILSHIRE BLVD STE 704
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4312
Country	:	US
Telephone Number	:	213-639-2664
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 WILSHIRE BLVD
Second Line	:	STE 704
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4303
Country	:	US
Telephone Number	:	213-639-2664
Fax Number	:	213-389-1987

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	02/20/2014

Similar Medicare Providers

1689651739 — HOME HEALTH CARE AGENCY, INC.
Practice Location Address:

2500 WILSHIRE BLVD , SUITE 1230
LOS ANGELES, CA
90057-4303

Practice Phone: 213-387-5397
Practice Fax: 213-387-7309

1568407203 — NEW MILLENIUM MOBILE DIAGNOSTIC SERVICES
Practice Location Address:

2500 WILSHIRE BLVD , SUITE # 1122
LOS ANGELES, CA
90057-4303

Practice Phone: 213-387-5005
Practice Fax: 213-387-5006

1265548853 — MED-KAL EQUIPMENT & SUPPLY, INC.
Practice Location Address:

2500 WILSHIRE BLVD , SUITE 105
LOS ANGELES, CA
90057-4303

Practice Phone: 213-386-1100
Practice Fax: 213-383-2797

1649319989 — MS. AMALIE JOHANNA HOHN MA, LMFT
Practice Location Address:

2500 WILSHIRE BLVD , 500
LOS ANGELES, CA
90057-4303

Practice Phone: 213-639-0219
Practice Fax:

1568501971 — RAQUEL J NEIDHOLD M.S.
Practice Location Address:

2500 WILSHIRE BLVD , SUITE 704
LOS ANGELES, CA
90057-4303

Practice Phone: 213-639-2661
Practice Fax: 213-389-1987

1821137308 — MRS. KIMBERLY NICOLE FEASTER
Practice Location Address:

2500 WILSHIRE BLVD , SUITE #500
LOS ANGELES, CA
90057-4303

Practice Phone: 213-639-0277
Practice Fax:

Directions to “ MRS. GLENNA PATRICE ANDERSON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.