Anderson, Catherine M
Anderson, Catherine M is an sole proprietor health care provider with primary practice located at 5873 Dunes Hwy Ste 2B , Portage IN 46368-1030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Catherine M can be contacted via phone (219) 309-3726.Contact Information
Primary practice address
5873 Dunes Hwy Ste 2B
Portage IN 46368-1030
Phone: (219) 309-3726
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87000641A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149010628 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004861A | Indiana |
Profile Details
| NPI number | 1831275320 |
|---|---|
| LBN Legal business name | Anderson, Catherine M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Nov 14th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831275320 | NPPES |
| Other | 1831275320 | CAQH | |
| MEDICAID | 200684470 | CAQH |
Popular Providers
-
Banka, Cary James
3349 Willowcreek Rd , Portage IN 46368-5015 -
Dortmund, Brian H
6050 Sterling Creek Rd , Portage IN 46368-7752 -
Daxe, Elise D
3176 Lancer St , Portage IN 46368-4408 -
Robertson, Jeffrey R
6840 Prairie Run Ave , Portage IN 46368-2665 -
Haro, Lisette
3176 Lancer St , Portage IN 46368-4408 -
Grant, John H.
291 Wall St. , Kingston NY 12401-3849 -
Mcbrayer, Michelle Lynn
6050 Sterling Creek Rd , Portage IN 46368-7752 -
Gutierrez, Angela
2428 Sea Horse St , Portage IN 46368-6509