Individual provider · NPI-1

Melanie A Anderson, LMSW

Social Worker, Clinical · Lithonia, GA

NPI number1598081184
StatusActive
Last updated in NPPESJan 10, 2022

Details

NPI
1598081184
Entity type
Individual (NPI-1)
Name
Melanie A Anderson
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 8, 2010
Last updated
Jan 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalMSW004928GAYes

Practice location

2170 Strang Blvd
Lithonia, GA 30058-6519

Phone 678-793-3059

Mailing address

2170 Strang Blvd
Lithonia, GA 30058-6519

Phone 678-793-3059

Is something wrong?

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.

Other Social Worker, Clinical providers in Lithonia, GA