Individual
CATHERINE M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000641A
IN
1041C0700X
Clinical Social Worker
149010628
IL
1041C0700X
Clinical Social Worker
Primary
34004861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831275320
CAQH
—
05
—
200684470
—
IN
Enumeration date
10/27/2006
Last updated
11/14/2018
Update your record
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