Provider Demographics
NPI:1447438072
Name:IRIZARRY-WOOD, ANNA (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:IRIZARRY-WOOD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 WESTERVELT PLACE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055
Mailing Address - Country:US
Mailing Address - Phone:862-249-3552
Mailing Address - Fax:866-570-3890
Practice Address - Street 1:61 WESTERVELT PLACE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5605
Practice Address - Country:US
Practice Address - Phone:862-249-3552
Practice Address - Fax:866-570-3890
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054175001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical