MRS. KRISTINA NICHOLAS ANDERSON


Address: 5624 N Government Way, Suite 7b, Dalton Gardens, ID 83815-7350
Phone: 2087629890

MRS. KRISTINA NICHOLAS ANDERSON (NPI# 1790904779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790904779
Entity Type Individual
Full Name MRS. KRISTINA NICHOLAS ANDERSON
Credential LSW, MASTERS STUDENT
Practice Address 5624 N Government Way
Suite 7b
Dalton Gardens
ID 83815-7350
Practice Telephone 2087629890
Practice Fax Number 2087629892
Mailing Telephone 2087629890
Mailing Fax Number 2087629892
Enumeration Date 2007-04-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker LSW-2298 ID Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID BUR OCCUP LICEN - LSW LSW-2298 01

Office Location

Street Address 5624 N GOVERNMENT WAY
SUITE 7B
City DALTON GARDENS
State ID
Zip Code 83815-7350

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1790133163 Christine Lee Stanton Speech-Language Pathologist 3825 N. Blalock Drive, Coeur D'alene, ID 83815 2016-05-26
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1770954794 William Strong Speech-Language Pathologist 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 2015-10-16
1235517079 Denny Bordeaux Emergency Medical Technician, Paramedic 7294 Downing Lane, Coeur D Alene, ID 83815 2015-05-13
1689075657 Barbara Campbell Pharmacist W 201 Neider Rd., Coeur D'alene, ID 83815 2014-09-10
1710313671 Sean Cooper Pharmacist W. 201 Neider Rd., Coeur D' Alene, ID 83815 2013-09-23
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1881972701 A Better Personal Care Inc In Home Supportive Care 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 2011-07-26
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154580892 Christiane E. Magera Social Worker 5624 N Government Way Ste 7b, Dalton Gardens, ID 83815-7350 2008-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821697749 Ashley Weiss Social Worker 973 S Brook Trout Way, Meridian, ID 83642-7745 2020-10-21
1255938205 Samantha Davis Social Worker 564 N Flauson Ave, Kuna, ID 83634-1279 2020-10-02
1518574722 Donna S. Morales Social Worker 479 Madison St, Twin Falls, ID 83301-4722 2020-09-30
1962019513 Jessica Rose Crocker-oswald Social Worker 13 E Ada Ave, Meridian, ID 83642-2725 2020-09-28
1568078681 Tammy Law Social Worker 314 Badiola St # T, Caldwell, ID 83605-4389 2020-09-23
1831704204 Rising Hope Counseling Services, LLC Social Worker 104 9th Ave S # 5a, Nampa, ID 83651-3809 2020-09-12
1720691249 Uzima Health Services LLC Social Worker 1111 S Orchard St Ste 245, Boise, ID 83705-1964 2020-08-25
1932711165 Samantha Paige Averett Social Worker 60 N Broadway, Blackfoot, ID 83221 2020-08-19
1104437995 Erika Lynn Rivera Social Worker 1224 1st St S Ste 307, Nampa, ID 83651-3963 2020-08-14
1881204741 Pacific Wellness LLC Social Worker 212 W Ironwood Dr Ste D-2040, Coeur D Alene, ID 83814-1403 2020-08-05
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Competitor

Search similar providers

City DALTON GARDENS
Zip Code 83815

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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