Provider Demographics
NPI:1003918657
Name:MCCAUSLAND, ANNE D (MSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:D
Last Name:MCCAUSLAND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CENTRE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-6302
Mailing Address - Country:US
Mailing Address - Phone:603-228-7300
Mailing Address - Fax:603-228-7301
Practice Address - Street 1:8 CENTRE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6302
Practice Address - Country:US
Practice Address - Phone:603-228-7300
Practice Address - Fax:603-228-7301
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0007350167OtherAETNA
NH10054454OtherCIGNA
NH052741OtherVALUEOPTIONS
NH203871OtherMBC
NH30011171Medicaid
NH052741OtherVALUEOPTIONS