NPI Profile for SHELLIE ANDERSON in VERNAL, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Other Service Providers |
175T00000X |
| NPI Number | 1891157301 |
|
| Status | Active | |
| Credentials | LCSW (Licensed Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 03/23/2016 | |
| Last updated | 04/08/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHELLIE ANDERSON
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