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Contact Information

MATTHEW G ANDERSON, LCSW
1905B MISSION 66
VICKSBURG, MS39180-3711
 Phone: 601-724-9201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MATTHEW G ANDERSON · (Male)

NPI Number 1760822860
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/03/2013
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # M7209
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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