Provider Demographics
NPI:1093078891
Name:TRANCE, ANNIE (CSW)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:TRANCE
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 KENNY RD
Mailing Address - Street 2:6TH FL TOWER
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3502
Mailing Address - Country:US
Mailing Address - Phone:614-366-8700
Mailing Address - Fax:614-685-6500
Practice Address - Street 1:2050 KENNY RD
Practice Address - Street 2:6TH FL TOWER
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-366-8700
Practice Address - Fax:614-685-6500
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0171021041C0700X
OHI1302461101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical