Whalio Doctors

NPI 1003173253

Kevin R Anderson, LCSW

Practitioner Clinical Social Worker Anderson, IN

Practice location

Address
2210 Jackson St, Anderson, IN 46016-4363
Phone
(765) 683-3118
Mailing address
10330 N Meridian St # 300, Indianapolis, IN 46290-1024

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34000491A (IN)

Registry record

NPI
1003173253
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Apr 2012
Record last updated
9 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.