Provider Demographics
NPI:1033231550
Name:KEARNEY, ANTHONY HUGHES (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:HUGHES
Last Name:KEARNEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-1816
Mailing Address - Country:US
Mailing Address - Phone:973-744-1494
Mailing Address - Fax:
Practice Address - Street 1:324 BELLEVILLE AVE
Practice Address - Street 2:SUITE 22
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3652
Practice Address - Country:US
Practice Address - Phone:973-566-0890
Practice Address - Fax:973-566-0896
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006725001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical