# LISA A ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487676466
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089-0001063 | VT | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 09/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00069175 | BC/BS OF VT | VT |
| 05 | — | 1011314 | — | VT |
| 01 | — | 2288731 | CIGNA | VT |
| 01 | — | 376827 | TRICARE | VT |
| 01 | — | 594038 | VALUE OPTIONS | VT |
