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Contact Information

OLIVIA ANDERSON, LCSW
1835 GILMORE AVE
LAKELAND, FL33805-3017
 Phone: 863-519-0575
 Fax: 863-519-0728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for OLIVIA ANDERSON · (Female)

NPI Number 1023125945
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/24/2006
Last updated 10/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SW9710
  • FL Medicaid 008790100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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