Individual provider · Type 1 NPI

Shelby Lea Anderson

Clinical Social Worker · Matthews, NC

NPI number 1700473469 Active

Practice location

1122 Sam Newell Rd Ste 103
Matthews, NC 28105-5016

Mailing address

2041 Berkley Hall Way Apt 201
Fort Mill, SC 29708-0036

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XP014824 (NC)
Clinical Social Worker Primary 1041C0700XP014824 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1700473469

Shelby Lea Anderson's National Provider Identifier is 1700473469, issued on Dec 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Matthews, NC. The record was last updated on Jul 20, 2021.