Individual provider · NPI-1

Donna Teresa Anderson, LCSW-C

Social Worker, Clinical · Waldorf, MD

NPI number1003537119
StatusActive
Last updated in NPPESSep 7, 2022

Details

NPI
1003537119
Entity type
Individual (NPI-1)
Name
Donna Teresa Anderson
Credential
LCSW-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 7, 2022
Certification date
Sep 7, 2022
Last updated
Sep 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical29060MDYes

Practice location

2285 Community Dr
Waldorf, MD 20601-3965

Phone 202-491-5130

Mailing address

2285 Community Dr
Waldorf, MD 20601-3965

Phone 202-491-5130

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