Active NPIIndividual provider

Emma S Anderson, LCSW

Social Worker, Clinical in Bend, Oregon

NPI Number1023459591
Practice location
2577 NE Courtney Dr, Bend, OR 97701-7752
Fax
541-322-7565
Last updated
June 7, 2022

Emma S Anderson, LCSW is a Social Worker, Clinical based in Bend, OR. Emma S Anderson, LCSW holds the professional credentials of LCSW. The NPI number for Emma S Anderson, LCSW is 1023459591 and holds license No. L10995 (OR). The current practice location address is 2577 NE Courtney Dr, Bend, OR 97701-7752 and the office can be reached by phone at 541-322-7500 and by fax at 541-322-7565. The NPI was assigned on July 12, 2013 and the record was last updated in NPPES on June 7, 2022.

●Provider Profile Details

NPI Number
1023459591
Provider Name
Emma Susann Anderson
Credential
LCSW
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Enumeration Date
July 12, 2013
Last Update Date
June 7, 2022
Certification Date
June 7, 2022
NPI Status
Active

◉Business Practice Location Address

Address
2577 NE Courtney Dr
Bend, OR 97701-7752
City
Bend
State
Oregon
ZIP
97701-7752
Country
US
Phone Number
541-322-7500
Fax Number
541-322-7565

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✉Business Mailing Address

Address
2577 NE Courtney Dr
Bend, OR 97701-7752
City
Bend
State
OR
ZIP
97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XNo——
Social Worker, Clinical1041C0700XYesL10995OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Emma S Anderson, LCSW?

The NPI number of Emma S Anderson, LCSW is 1023459591. It was assigned on July 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Emma S Anderson, LCSW?

Emma S Anderson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. L10995 (OR).

Where does Emma S Anderson, LCSW practice?

The practice location is 2577 NE Courtney Dr, Bend, OR 97701-7752. The office can be reached at 541-322-7500 (phone) or 541-322-7565 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023459591 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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