Individual provider · Type 1 NPI
Loretta Lee Anderson, LCSW
Emotionally Disturbed Childrens' Residential Treatment Facility · Springfield, MO
Practice location
1212 W Lombard St
Springfield, MO 65806-2720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 2003032220 (MO) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 2003032220 (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.
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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.