Provider Demographics
NPI:1073912424
Name:EBRANI, ANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:EBRANI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:EBRANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:28 DEBEVOISE STREET
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4120
Mailing Address - Country:US
Mailing Address - Phone:718-963-4430
Mailing Address - Fax:718-963-0814
Practice Address - Street 1:28 DEBEVOISE STREET
Practice Address - Street 2:5TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-4430
Practice Address - Fax:718-963-0814
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0870561041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical