Holly Anderson, LCSW
Social Worker, Clinical in Lombard, IL. Individual provider (NPI-1).
NPI number1841725504
StatusActive
Last updated in NPPESMar 6, 2021
Details
- NPI
- 1841725504
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Holly Anderson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2017
- Certification date
- Mar 6, 2021
- Last updated
- Mar 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149018939 | IL | Yes |
| 171M00000X | Case Manager/Care Coordinator | 149.018939 | IL |
Practice location
1 E 22nd StSuite 310
Lombard, IL 60148-6159
Phone 417-291-8612
Mailing address
1 E 22nd StSuite 310
Lombard, IL 60148-6159
Phone 417-291-8612
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