Provider Demographics
NPI:1871708909
Name:BOBRICK, ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:BOBRICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 MADISON AVE
Mailing Address - Street 2:APT. 4D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-3829
Mailing Address - Country:US
Mailing Address - Phone:212-988-9845
Mailing Address - Fax:
Practice Address - Street 1:1825 MADISON AVE
Practice Address - Street 2:APT. 4D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3829
Practice Address - Country:US
Practice Address - Phone:212-988-9845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR001713-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health