Provider Demographics
NPI:1447391560
Name:ANDERSON, DANIEL ANDREW (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANDREW
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 HIDDEN PATH LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0840
Mailing Address - Country:US
Mailing Address - Phone:940-323-2182
Mailing Address - Fax:
Practice Address - Street 1:3620 N JOSEY LN
Practice Address - Street 2:SUITE 114
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3157
Practice Address - Country:US
Practice Address - Phone:972-394-2137
Practice Address - Fax:972-492-7865
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39557104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker