Provider Demographics
NPI:1083834337
Name:DURY, ANNE FRANCES (LISW, LICDC, OCPSII)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:FRANCES
Last Name:DURY
Suffix:
Gender:F
Credentials:LISW, LICDC, OCPSII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 W 42ND ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-2614
Mailing Address - Country:US
Mailing Address - Phone:440-225-7316
Mailing Address - Fax:
Practice Address - Street 1:5 S MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1600
Practice Address - Country:US
Practice Address - Phone:440-499-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH954227101YA0400X
OH0821-C99104100000X
OHI-00098061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker