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TERRY ANDERSON MA MSW DMIN LCSW NPI 1538364740


NPI Information

NPI: 1538364740
Provider Name: TERRY ANDERSON, MA, MSW, DMIN, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
300 W WAYNE ST
FORT WAYNE, IN
ZIP 46802
Phone: (260) 422-8556
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Terry Anderson, MA, MSW, DMIN, LCSW is a counselor in Fort Wayne, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Terry Anderson, MA, MSW, DMIN, LCSW NPI is 1538364740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 W WAYNE ST
FORT WAYNE, IN
ZIP 46802-608
Phone: (260) 422-8556
Fax: (260) 422-8558

The enumeration date for this NPI number is 6/18/2007 and was last updated on 11/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP1600XCounselorPastoralNo
3101YP2500XCounselorProfessionalNo
41041C0700XSocial WorkerClinical34003367AINDIANANo
5106H00000XMarriage & Family TherapistNo
6101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134003367AOTHERINDIANASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.