Eboni L Anderson, LCSW is a
Social Worker - Clinical based in Charlotte, North Carolina. Eboni L Anderson is licensed to practice in North Carolina (license number ) and her current practice location is
5430 Chiltern Hills Trl, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 516-5570.
NPI number for Eboni L Anderson is 1386939171 and her current mailing address is 5430 Chiltern Hills Trl, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386939171.
Healthcare Provider's Profile
| Full Name | Eboni L Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 5430 Chiltern Hills Trl, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386939171
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 04/07/2023
Medical Identifiers
Medical identifiers for Eboni L Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386939171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eboni L Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eboni L Anderson, LCSW
5430 Chiltern Hills Trl,
Charlotte, NC 28215-5306
Ph: (704) 516-5570 | Eboni L Anderson, LCSW
5430 Chiltern Hills Trl,
Charlotte, NC 28215-5306
Ph: (704) 516-5570 |
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