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Contact Information

ELISSA K ANDERSON, LICSW
515 BRIDGE ST
PARK RAPIDS, MN56470
 Phone: 218-366-9229
 Fax: 218-237-2520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ELISSA K ANDERSON · (Female)

NPI Number 1821219205
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/01/2007
Last updated 04/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 16558
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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