Active NPIIndividual provider

Jennifer L Anderson, LCSW

Social Worker, Clinical in Portland, Maine

NPI Number1134420730
Practice location
53 Baxter Blvd Ste 3, Portland, ME 04101-1827
Fax
603-883-0007
Last updated
June 16, 2026

Jennifer L Anderson is a Social Worker, Clinical based in Portland, ME. Jennifer L Anderson practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Jennifer L Anderson is 1134420730 and holds a License No. LC13073 (ME). The current practice location address for Jennifer L Anderson is 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 and can be reached out via phone at 603-883-0005 and via fax at 603-883-0007.

Provider Profile Details

NPI Number
1134420730
Provider Name
Jennifer L Anderson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
53 Baxter Blvd Ste 3, Portland, ME 04101-1827
Phone Number
603-883-0005
Fax Number
603-883-0007
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 12, 2010
Last Update Date
June 16, 2026
Certification Date
June 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
53 Baxter Blvd Ste 3
Portland, ME 04101-1827
State
Maine
Zip
04101-1827
Phone Number
603-883-0005
Fax Number
603-883-0007
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
4800 N Scottsdale RD Ste 2500
Scottsdale, AZ 85251-7630
City
Scottsdale
State
AZ
Zip
85251-7630
Phone Number
603-883-0005
Fax Number
603-883-0007

License Information

License Number (1)
LC13073
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
SW16492
License State (2)
FL
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy 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 Jennifer L Anderson, LCSW?

The NPI number of Jennifer L Anderson, LCSW is 1134420730. It was assigned on November 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Jennifer L Anderson, LCSW?

Jennifer L Anderson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC13073.

Where does Jennifer L Anderson, LCSW practice?

The practice location is 53 Baxter Blvd Ste 3, Portland, ME 04101-1827. The office can be reached at 603-883-0005 (phone) or 603-883-0007 (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 1134420730 directly on the NPPES registry website.

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