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Contact Information

CATHERINE M ANDERSON, LCSW
5873 DUNES HWY STE 2B
PORTAGE, IN46368-1030
 Phone: 219-309-3726
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CATHERINE M ANDERSON · (Female)

NPI # 1831275320
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/27/2006
Last updated 11/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149010628
  • IN License # 34004861A
  • IN License # 87000641A
  • IN Medicaid 200684470
  • Other 1831275320 CAQH
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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