Provider Demographics
NPI:1053331819
Name:EFFRON, ANNE K (MSW, LCSW, BCD)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:K
Last Name:EFFRON
Suffix:
Gender:F
Credentials:MSW, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 STONEWALL DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1837
Mailing Address - Country:US
Mailing Address - Phone:973-699-1207
Mailing Address - Fax:
Practice Address - Street 1:170 CHANGEBRIDGE RD
Practice Address - Street 2:SUITE C-4
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9115
Practice Address - Country:US
Practice Address - Phone:973-794-6565
Practice Address - Fax:973-794-3434
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052088001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ226877000OtherMAGELLAN PROVIDER #
NJ42541OtherCIGNA PROVIDER #