National Provider Identifier
Jennifer L Anderson, LCSW
Jennifer L Anderson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lackawanna, NY and a listed phone number of (716) 828-9700.
Profile Overview
- NPI
- 1841428190
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 25, 2009
- Last Updated
- October 10, 2011
Practice Location
- 650 Ridge RD
- Lackawanna, NY 14218-1435
Phone: (716) 828-9700
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1841428190
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Jennifer
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Skladanowski
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- L
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 650 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1435
- Mailing Country
- US
- Mailing Phone
- (716) 828-9700
- Mailing Fax
- (716) 828-9745
- Practice Street Address
- 650 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1435
- Practice Country
- US
- Practice Phone
- (716) 828-9700
- Practice Fax
- (716) 828-9745
- Enumeration Date
- June 25, 2009
- Last Updated
- October 10, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)