Individual
MICHAEL G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
115 SUMMERS HOSPITAL RD, HINTON, WV 25951-5172
(304) 466-1000
(304) 466-2942
Mailing address
115 SUMMERS HOSPITAL RD, HINTON, WV 25951-5172
(304) 466-2918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BP00944286
WV
1041C0700X
Clinical Social Worker
Primary
DP00944286
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP00944286
CLINICAL LICENSE
WV
Enumeration date
09/10/2013
Last updated
09/19/2018
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