Provider Demographics
NPI:1508576281
Name:VENTURA, ANNA (LICSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:VENTURA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HALE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5285
Mailing Address - Country:US
Mailing Address - Phone:805-252-2800
Mailing Address - Fax:
Practice Address - Street 1:21 HALE ST APT 1
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5285
Practice Address - Country:US
Practice Address - Phone:805-252-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10276761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical