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1922001171

NPI Code Detail

MEDICARE: JOY A. ANDERSON LCSW

MEDICARE: JOY A. 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	34000547	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	500026068	OTHER	KY	MEDICARE RAILROAD
4	CK2274	OTHER	KY	RAILROAD MEDICARE GROUP
6	160780	OTHER	IN	MEDICARE GROUP
7	160860	OTHER	IN	MEDICARE GROUP
10	800012513	OTHER	IN	MEDICARE RAILROAD
11	CG3623	OTHER	IN	MEDICARE RAILROAD GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2444451000	OTHER	KY	PASSPORT GROUP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	2772085000	OTHER	KY	PASSPORT ADVANTAGE
9	5980100	OTHER		MAGELLAN MIS
12	000000056294	OTHER		ANTHEM GROUP #
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	000000194070	OTHER		ANTHEM
15	50704000	OTHER		MAGELLAN GROUP MIS

General Provider Information

NPI Number	:	1922001171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY A. ANDERSON LCSW

Provider Business Mailing Address
First Line	:	510 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3554
Country	:	US
Telephone Number	:	812-282-1888
Fax Number	:	812-285-8392

Provider Business Practice Location Address
First Line	:	510 SPRING ST
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-3554
Country	:	US
Telephone Number	:	812-282-1888
Fax Number	:	812-285-8392

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/31/2009

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Directions to “ JOY A. ANDERSON LCSW” Practice Location

Language	Start Address	Practice Location

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