NPI

Matthew Gordon Anderson

NPI 1760822860

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
L.C.S.W.
Type
Individual
Enumeration date
2013-07-03
Last updated
2019-07-09

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Specialties

Licenses

License MS
M7209

Location

Practice location
1905b Mission 66
City
Vicksburg MS
Postal code
39180-3711
Phone
(601) 724-9201

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Social Workers in Vicksburg, MS. 9 with this primary taxonomy in the public file.

Other NPIs in Vicksburg, MS. 999 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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