Anderson, Marisa

Anderson, Marisa is an sole proprietor health care provider with primary practice located at 2404 Wise Rd , Conway SC 29526-5521. 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 / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Anderson, Marisa can be contacted via phone (843) 365-8884.

Contact Information

Primary practice address
2404 Wise Rd Conway SC 29526-5521
Phone: (843) 365-8884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1083010359
LBN Legal business name Anderson, Marisa
Credentials MSW, CACP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2014
Last updated Nov 13th, 2014 - about 10 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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