Provider Demographics
NPI:1114959244
Name:PERRY, ANNA JOY (CSW-PIP)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:JOY
Last Name:PERRY
Suffix:
Gender:F
Credentials:CSW-PIP
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:JOY
Other - Last Name:HOLTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1604 E PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-4947
Mailing Address - Country:US
Mailing Address - Phone:605-376-1679
Mailing Address - Fax:
Practice Address - Street 1:5000 S MAC ARTHUR LN STE 104
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5407
Practice Address - Country:US
Practice Address - Phone:605-376-1679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD19951041C0700X
SD22081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical