Provider Demographics
NPI:1225401011
Name:MORETTI, ANNA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:M
Last Name:MORETTI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 GRAND STREET - C/O DR. STEVE E. ABRAHAM
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002
Mailing Address - Country:US
Mailing Address - Phone:929-325-9383
Mailing Address - Fax:646-514-8260
Practice Address - Street 1:425 GRAND STREET - C/O DR. STEVE E. ABRAHAM
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:929-325-9383
Practice Address - Fax:646-514-8260
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.1012641041C0700X
NY088775-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty