Active NPIIndividual providerSole proprietor

Mr. Gregory Andersen Sr., BA LCDP

Counselor, Addiction (Substance Use Disorder) in Wakefield, Rhode Island

NPI Number1396141644
Practice location
350 Columbia St, Wakefield, RI 02879-2494
Fax
—
Last updated
November 14, 2014

Gregory Andersen is a Counselor, Addiction (Substance Use Disorder) based in Wakefield, RI. Gregory Andersen practices in Wakefield, RI and has the professional credentials of BA LCDP. The NPI Number for Gregory Andersen is 1396141644 and holds a License No. CDP00478 (RI). The current practice location address for Gregory Andersen is 350 Columbia St, Wakefield, RI 02879-2494 and can be reached out via phone at 401-789-0934.

Provider Profile Details

NPI Number
1396141644
Provider Name
Gregory Andersen
Credential
BA LCDP
Provider Entity Type
Individual
Gender
Male
Address
350 Columbia St, Wakefield, RI 02879-2494
Phone Number
401-789-0934
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2014
Last Update Date
November 14, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Columbia St
Wakefield, RI 02879-2494
Zip
02879-2494
Phone Number
401-789-0934
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
30 Lakeside Dr
Charlestown, RI 02813-3143
City
Charlestown
State
RI
Zip
02813-3143
Phone Number
401-789-0934

License Information

License Number
CDP00478
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Mr. Gregory Andersen Sr., BA LCDP?

The NPI number of Mr. Gregory Andersen Sr., BA LCDP is 1396141644. It was assigned on November 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Gregory Andersen Sr., BA LCDP?

Mr. Gregory Andersen Sr., BA LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00478.

Where does Mr. Gregory Andersen Sr., BA LCDP practice?

The practice location is 350 Columbia St, Wakefield, RI 02879-2494. The office can be reached at 401-789-0934 (phone).

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 1396141644 directly on the NPPES registry website.

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