Provider Demographics
NPI:1003857962
Name:WROTNY, ANN RICHARDSON (LCSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:RICHARDSON
Last Name:WROTNY
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 1:10800 FINANCIAL CENTRE PKWY
Mailing Address - Street 2:SUITE 490
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3500
Mailing Address - Country:US
Mailing Address - Phone:501-228-0288
Mailing Address - Fax:501-228-8189
Practice Address - Street 1:10800 FINANCIAL CENTRE PKWY
Practice Address - Street 2:SUITE 490
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3500
Practice Address - Country:US
Practice Address - Phone:501-228-0288
Practice Address - Fax:501-228-8189
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1944-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5Y442Medicare ID - Type Unspecified