Adam Anderson, L.C.S.W.
Social Worker, Clinical in Fremont, CA. Individual provider (NPI-1).
NPI number1245565928
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1245565928
- Entity type
- Individual (NPI-1)
- Name
- Adam Anderson
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2009
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS 29029 | CA | Yes |
| 104100000X | Social Worker | – | – |
Practice location
39155 Liberty StSte G710
Fremont, CA 94538-1513
Phone 707-477-8352
Mailing address
39155 Liberty StSte G710
Fremont, CA 94538-1513
Phone 707-477-8352
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