Provider Demographics
NPI:1548561996
Name:WEBER, ANNE MARIE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:ANNE MARIE
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:NORTH CHILI
Mailing Address - State:NY
Mailing Address - Zip Code:14514-0485
Mailing Address - Country:US
Mailing Address - Phone:585-208-2060
Mailing Address - Fax:
Practice Address - Street 1:1231 WOODHULL RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9178
Practice Address - Country:US
Practice Address - Phone:585-208-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0510741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051074OtherLICENSE