Provider Demographics
NPI:1922653104
Name:ANDERS, BETH (LMSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:ANDERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 MITCHELL RD
Mailing Address - Street 2:
Mailing Address - City:AIRVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17302-9003
Mailing Address - Country:US
Mailing Address - Phone:443-752-4134
Mailing Address - Fax:
Practice Address - Street 1:2057 PULASKI HIGHWAY
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901
Practice Address - Country:US
Practice Address - Phone:443-877-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21872104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker