Anderson, Erica D
Anderson, Erica D is an individual health care provider with primary practice located at 1125 W Badger Rd Apt 6 , Madison WI 53713. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Anderson, Erica D can be contacted via phone (608) 658-9985.Contact Information
Primary practice address
1125 W Badger Rd Apt 6
Madison WI 53713
Phone: (608) 658-9985
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18995130 | Wisconsin |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 127500121 | Wisconsin |
Profile Details
NPI number | 1518501329 |
---|---|
LBN Legal business name | Anderson, Erica D |
Credentials | APSW, CSAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2019 |
Last updated | Nov 27th, 2020 - about 4 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 | 1518501329 | NPPES |
Wyoming | MEDICAID | 1518501329 |
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