Provider Demographics
NPI:1700395118
Name:ANDERSON, NALINI (LCSW-C)
Entity type:Individual
Prefix:
First Name:NALINI
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:838 CLOVER LEAF CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-3839
Mailing Address - Country:US
Mailing Address - Phone:443-768-5708
Mailing Address - Fax:
Practice Address - Street 1:8817 BELAIR RD STE 204
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-2446
Practice Address - Country:US
Practice Address - Phone:410-862-4262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC2000035711041C0700X
MD209311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical