Provider Demographics
NPI:1366479107
Name:STRODS, ANITA EMETERIO (LCSW)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:EMETERIO
Last Name:STRODS
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 1:2863 BENSON RD
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-9638
Mailing Address - Country:US
Mailing Address - Phone:315-683-6864
Mailing Address - Fax:
Practice Address - Street 1:2863 BENSON RD
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-9638
Practice Address - Country:US
Practice Address - Phone:315-683-6864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0750641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical