Provider Demographics
NPI:1003919010
Name:SENICK, ANN MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:
Last Name:SENICK
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 1:65 CLEAR LAKE MNR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06471-1548
Mailing Address - Country:US
Mailing Address - Phone:203-483-9649
Mailing Address - Fax:
Practice Address - Street 1:2080 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3600
Practice Address - Country:US
Practice Address - Phone:203-747-3480
Practice Address - Fax:860-297-0931
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0050991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140005099CT03OtherANTHEM
CT201522674OtherNORTHEASTHMCPPO HEALTHCAR
CT201522674OtherUNITED BEHAVIORAL HEALTH
CTA3463246OtherOXFORD
CT201522674OtherVALUE OPTIONS
CT236926OtherMANAGED HEALTH NETWORK
CT201522674OtherPIONEER
CT201522674OtherORIVATE HEALTHCARE SYSTEM
CT201522674OtherUNITED BEHAVIORAL HEALTH