| Trisha Anderson, P.c. | |
|
11640 Arbor St Ste 101 Omaha NE 68144-5007 | |
| (402) 651-5621 | |
| Not Available |
| Full Name | Trisha Anderson, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 11640 Arbor St Ste 101, Omaha, Nebraska |
| Authorized Official Name and Position | Trisha Anderson (MENTAL HEALTH THERAPIST / OWNER) |
| Authorized Official Contact | 4026515621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha Anderson, P.c. 11640 Arbor St Ste 101 Omaha NE 68144-5007 Ph: (402) 651-5621 | Trisha Anderson, P.c. 11640 Arbor St Ste 101 Omaha NE 68144-5007 Ph: (402) 651-5621 |
| NPI Number | 1013502673 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 4284041260 |
|---|---|
| Medicare Enrollment ID | O20210319000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013502673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Trisha M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013287259 PECOS PAC ID: 3577792035 Enrollment ID: I20181205002034 |
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