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NPI Code Detail

MEDICARE: ALAINA ANDERSEN LCSW

MEDICARE: ALAINA ANDERSEN 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
1101YM0800XMental Health Counselor
21041C0700XClinical Social WorkerSW16845FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891210431
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAINA ANDERSEN LCSW
Provider Business Mailing Address
First Line : 1131 NW 75TH TER
Second Line :
City : PLANTATION
State : FL
Zip : 33313-5953
Country : US
Telephone Number : 616-401-7052
Fax Number :
Provider Business Practice Location Address
First Line : 12000 BISCAYNE BLVD STE 303
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33181-2720
Country : US
Telephone Number : 305-917-2173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2017
Last Update Date : 08/06/2022

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