Jennifer Kass Anderson
Social Worker in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1275143174
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1275143174
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Kass Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2020
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
10570 S Federal Hwy Ste 200Port St Lucie, FL 34952-5606
Phone 772-380-9972
Mailing address
10570 S Federal Hwy Ste 200Port St Lucie, FL 34952-5606
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