Provider Demographics
NPI:1437144805
Name:ANITA LOUISE LENAS LCSW INC
Entity Type:Organization
Organization Name:ANITA LOUISE LENAS LCSW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LENAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-322-6123
Mailing Address - Street 1:PO BOX 47918
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-7918
Mailing Address - Country:US
Mailing Address - Phone:727-322-6123
Mailing Address - Fax:727-322-6143
Practice Address - Street 1:5348 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8106
Practice Address - Country:US
Practice Address - Phone:727-322-6123
Practice Address - Fax:727-322-6143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW44021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFL1837OtherBRADMAN NETWORK
FLZ031DOtherBLUE CROSS BLUE SHIELD
FL216094OtherCOMPSYCH
FL685126679Medicaid
E8203Medicare PIN