Active NPIIndividual provider

Mrs. Krissa A Anderson, LCSW

Social Worker, Clinical in Groton, Connecticut

NPI Number1275549123
Practice location
130 Shennecossett Road, Groton, CT 06340
Fax
860-445-2191
Last updated
July 8, 2007

Krissa Ann Anderson is a Social Worker, Clinical based in Groton, CT. Krissa Ann Anderson practices in Groton, CT and has the professional credentials of LCSW. The NPI Number for Krissa Ann Anderson is 1275549123 and holds a License No. 005647CT01 (CT). The current practice location address for Krissa Ann Anderson is 130 Shennecossett Road, Groton, CT 06340 and can be reached out via phone at 860-445-2191 and via fax at 860-445-2191.

Provider Profile Details

NPI Number
1275549123
Provider Name
Krissa Ann Anderson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
130 Shennecossett Road, Groton, CT 06340
Phone Number
860-445-2191
Fax Number
860-445-2191
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ms. Krissa Ann Soboleski, MSW (Former Name)
Provider Enumeration Date
July 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Shennecossett Road
Groton, CT 06340
City
Groton
Zip
06340
Phone Number
860-445-2191
Fax Number
860-445-2191
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
25 Croft Court
Pawcatuck, CT 06379
City
Pawcatuck
State
CT
Zip
06379
Phone Number
860-599-1132

License Information

License Number
005647CT01
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Mrs. Krissa A Anderson, LCSW?

The NPI number of Mrs. Krissa A Anderson, LCSW is 1275549123. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Krissa A Anderson, LCSW?

Mrs. Krissa A Anderson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005647CT01.

Where does Mrs. Krissa A Anderson, LCSW practice?

The practice location is 130 Shennecossett Road, Groton, CT 06340. The office can be reached at 860-445-2191 (phone) or 860-445-2191 (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 1275549123 directly on the NPPES registry website.

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