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Madison Leola Anderson, LMSW

Social Worker, Clinical in East Hampton, CT. Individual provider (NPI-1).

NPI number1194602011
StatusActive
Last updated in NPPESAug 20, 2025

Details

NPI
1194602011
Entity type
Individual (NPI-1)
Name
Madison Leola Anderson
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2025
Certification date
Aug 20, 2025
Last updated
Aug 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical11316CTYes

Practice location

151 E High St
East Hampton, CT 06424-1574

Phone 860-946-0447

Mailing address

151 E High St
East Hampton, CT 06424-1574

Phone 860-946-0447

Other practice locations

300 Hebron Ave Ste 203
Glastonbury, CT 06033-2192

Phone 860-946-0447

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