Provider Demographics
NPI:1376681544
Name:FLOSDORF, ANN F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:F
Last Name:FLOSDORF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ANN
Other - Middle Name:F
Other - Last Name:FLOSDORF-MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6001 MOON ST NE
Mailing Address - Street 2:APT 1523
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1453
Mailing Address - Country:US
Mailing Address - Phone:585-329-6205
Mailing Address - Fax:
Practice Address - Street 1:9301 INDIAN SCHOOL RD NE
Practice Address - Street 2:STE 200F
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2884
Practice Address - Country:US
Practice Address - Phone:585-329-6205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0261871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical