Kristyn Collette Anderson, is a
Social Worker - Clinical based in Lynwood, California. Kristyn Collette Anderson is licensed to practice in California (license number 98528) and her current practice location is
2640 Industry Way, Lynwood, California. She can be reached at her office (for appointments etc.) via phone at
(310) 627-4525.
NPI number for Kristyn Collette Anderson is 1538720578 and her current mailing address is 2640 Industry Way Ste B, Lynwood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538720578.
Healthcare Provider's Profile
| Full Name | Kristyn Collette Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2640 Industry Way, Lynwood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538720578
- Provider Enumeration Date: 06/20/2019
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Kristyn Collette Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538720578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 98528 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 98528 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 98528 (California) | 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. Kristyn Collette 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 |
|---|
Kristyn Collette Anderson,
2640 Industry Way Ste B,
Lynwood, CA 90262-4285
Ph: (310) 627-4525 | Kristyn Collette Anderson,
2640 Industry Way,
Lynwood, CA 90262-4284
Ph: (310) 627-4525 |
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