IndividualActive
Angela Anderson, LCSW
NPI 1164458097 · Clinical Social Worker · Moore, OK
Provider details
- NPI number
- 1164458097
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 2793 (OK)
Practice location
520 S Telephone Rd
Suite 201
Moore, OK 73160-5423
Phone: (405) 735-6333
Fax: (405) 735-6629
Mailing address
2621 Sw 93rd St
Oklahoma City, OK 73159-6714
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.