Donna Anderson | Farmington, MO • PECOS Search

Donna Anderson

Social Worker

Behavioral Health & Social Service Providers

103 6th St, Farmington, MO 63640-2841

PECOS Enrollment

Based on the most recent information from CMS, provider Donna Anderson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:13 AM.

Profile Details

Provider ID
1861791832
Provider Type
Individual
Full Name
Anderson, Donna
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/16/2011
Last Updated
8/2/2016

Contact Information

Practice Location

103 6th St, Farmington, MO 63640-2841

Unlisted Fax

Mailing Location

103 6th St, Farmington, MO 63640-2841

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2001003938 Missouri