Provider Demographics
NPI:1427380732
Name:TRESCA, ANNMARIE JEAN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ANNMARIE
Middle Name:JEAN
Last Name:TRESCA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 MANHATTAN ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-1810
Mailing Address - Country:US
Mailing Address - Phone:917-716-8177
Mailing Address - Fax:
Practice Address - Street 1:443 MANHATTAN ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10307-1810
Practice Address - Country:US
Practice Address - Phone:917-716-8177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0744951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical