Rosalind Gayla Anderson-Fennell
Social Worker, Clinical in Fuquay Varina, NC. Individual provider (NPI-1).
NPI number1295501765
StatusActive
Last updated in NPPESJul 20, 2026
Details
- NPI
- 1295501765
- Entity type
- Individual (NPI-1)
- Name
- Rosalind Gayla Anderson-Fennell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2023
- Certification date
- Jul 20, 2026
- Last updated
- Jul 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C019490 | NC | Yes |
Practice location
921 E Broad St # 1028Fuquay Varina, NC 27526-1960
Phone 866-793-3889
Mailing address
921 E Broad St # 1028Fuquay Varina, NC 27526-1960
Phone 317-431-4941
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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