# ANDERSON SCHOOL DISTRICT FIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912970674
- **Authorized official:** MR. DAVID C HENDRICKS (MEDICAID COMPLIANCE COORDINATOR)
- **Authorized official phone:** (864) 260-5053

## Contact information

- **Practice address:** 400 PEARMAN DAIRY RD, ANDERSON, SC 29625-3100
- **Practice address phone:** (864) 260-5000
- **Mailing address:** 400 PEARMAN DAIRY RD, ANDERSON, SC 29625-3100
- **Mailing address phone:** (864) 260-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YS0200X | School Counselor | — | NULL | Yes |
| 101YS0200X | School Counselor | — | — | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 163WS0200X | School Registered Nurse | — | NULL | — |
| 163WS0200X | School Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SD0405 | — | SC |