Anderson, Mary Ellen

Anderson, Mary Ellen is an individual health care provider with primary practice located at 485 Berlin Plank Rd , Somerset PA 15501-2069. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Mary Ellen can be contacted via phone (814) 701-2898.

Contact Information

Primary practice address
485 Berlin Plank Rd Somerset PA 15501-2069
Phone: (814) 701-2898
Fax: (814) 701-2917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013062 Pennsylvania

Profile Details

NPI number 1356363600
LBN Legal business name Anderson, Mary Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 28th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356363600 NPPES
Pennsylvania MEDICAID 1000001750051
Pennsylvania MEDICAID 1029029280002

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