Anderson, Carol Annette

Anderson, Carol Annette is an sole proprietor health care provider with primary practice located at 3400 N Central Expy Ste 110-270, Richardson TX 75080-0039. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Carol Annette can be contacted via phone (972) 814-0164.

Contact Information

Primary practice address
3400 N Central Expy Ste 110-270 Richardson TX 75080-0039
Phone: (972) 814-0164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 9075 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 01631 Texas

Profile Details

NPI number 1770574501
LBN Legal business name Anderson, Carol Annette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2005
Last updated Sep 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770574501 NPPES
Texas Other 0005089457 AETNA PIN
Texas Other 00S78J AETNA PIN
Texas Other 009398 AETNA PIN
Texas MEDICAID 1082711-02 AETNA PIN
Texas Other 077171000 AETNA PIN

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