Anderson, Susan Diane

Anderson, Susan Diane is an sole proprietor health care provider with primary practice located at 318 Pine Lake Ave , La Porte IN 46350-3061. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Susan Diane can be contacted via phone (219) 324-6263.

Contact Information

Primary practice address
318 Pine Lake Ave La Porte IN 46350-3061
Phone: (219) 324-6263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000100 Indiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 34000100 Indiana

Profile Details

NPI number 1922113919
LBN Legal business name Anderson, Susan Diane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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