Provider Demographics
NPI:1508406455
Name:STARRETT, ANTHONY LAURANCE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:LAURANCE
Last Name:STARRETT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:LAURENCE
Other - Last Name:MATUNAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 E 30TH ST APT 3L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6464
Mailing Address - Country:US
Mailing Address - Phone:917-658-3068
Mailing Address - Fax:
Practice Address - Street 1:KIRBY FORENSIC PSYCHIATRIC CENTER
Practice Address - Street 2:WARD'S ISLAND, 7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035
Practice Address - Country:US
Practice Address - Phone:917-658-3068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical