Active NPIIndividual provider

Mr. Spencer L Anderson, LICSW

Social Worker, School in Randolph, Massachusetts

NPI Number1811463474
Practice location
30 Lou Courtney Dr, Randolph, MA 02368-4802
Fax
—
Last updated
October 22, 2018

Spencer L Anderson is a Social Worker, School based in Randolph, MA. Spencer L Anderson practices in Randolph, MA and has the professional credentials of LICSW. The NPI Number for Spencer L Anderson is 1811463474 and holds a License No. 114253-SW-LICSW (MA). The current practice location address for Spencer L Anderson is 30 Lou Courtney Dr, Randolph, MA 02368-4802 and can be reached out via phone at 781-961-6256.

Provider Profile Details

NPI Number
1811463474
Provider Name
Spencer L Anderson
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
30 Lou Courtney Dr, Randolph, MA 02368-4802
Phone Number
781-961-6256
Primary Taxonomy
Social Worker, School · 1041S0200X
Sole Proprietor
No
Provider Enumeration Date
October 22, 2018
Last Update Date
October 22, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Lou Courtney Dr
Randolph, MA 02368-4802
Zip
02368-4802
Phone Number
781-961-6256
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
749 Plymouth St
Middleboro, MA 02346-3005
City
Middleboro
State
MA
Zip
02346-3005
Phone Number
508-923-4789

License Information

License Number
114253-SW-LICSW
License State
MA
Taxonomy
Social Worker, School · 1041S0200X · 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. Spencer L Anderson, LICSW?

The NPI number of Mr. Spencer L Anderson, LICSW is 1811463474. It was assigned on October 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Spencer L Anderson, LICSW?

Mr. Spencer L Anderson, LICSW is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in MA under license number 114253-SW-LICSW.

Where does Mr. Spencer L Anderson, LICSW practice?

The practice location is 30 Lou Courtney Dr, Randolph, MA 02368-4802. The office can be reached at 781-961-6256 (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 1811463474 directly on the NPPES registry website.

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