Individual provider · Type 1 NPI

Loretta Lee Anderson, LCSW

Emotionally Disturbed Childrens' Residential Treatment Facility · Springfield, MO

NPI number 1760521827 Active

Practice location

1212 W Lombard St
Springfield, MO 65806-2720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2003032220 (MO)
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X2003032220 (MO)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

33 other providers at this address

About NPI 1760521827

Loretta Lee Anderson, LCSW's National Provider Identifier is 1760521827, issued on Feb 5, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Springfield, MO. The record was last updated on Sep 11, 2025.