IndividualActive
Adam Anderson
NPI 1164369690 · Clinical Social Worker · Fenton, MO
Provider details
- NPI number
- 1164369690
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2024042627 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1071 Green Arbor Dr Apt J
Fenton, MO 63026-6405
Phone: (573) 673-1381
Approximate (ZIP-level) locationGet directions
Mailing address
1071 Green Arbor Dr Apt J
Fenton, MO 63026-6405
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.