Provider Demographics
NPI:1508470857
Name:CODY, ANNA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:CODY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:CODY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:145 W. 79TH ST.
Mailing Address - Street 2:APT. 8D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6411
Mailing Address - Country:US
Mailing Address - Phone:862-701-3811
Mailing Address - Fax:
Practice Address - Street 1:145 W. 79TH ST.
Practice Address - Street 2:APT. 8D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6411
Practice Address - Country:US
Practice Address - Phone:862-701-3811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108392-01104100000X
NY108392104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker