Provider Demographics
NPI:1487218392
Name:MCNAMARA, ANNE E
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:MCNAMARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:95 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2173
Mailing Address - Country:US
Mailing Address - Phone:603-882-3000
Mailing Address - Fax:603-594-2500
Practice Address - Street 1:95 HARRIS RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2173
Practice Address - Country:US
Practice Address - Phone:603-882-3000
Practice Address - Fax:603-594-2500
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10327811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical