Provider Demographics
NPI:1023393931
Name:MIRAGLIA, ANN C (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:C
Last Name:MIRAGLIA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DONLIN DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1902
Mailing Address - Country:US
Mailing Address - Phone:585-594-1964
Mailing Address - Fax:
Practice Address - Street 1:7 DONLIN DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1902
Practice Address - Country:US
Practice Address - Phone:585-594-1964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083864-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool