Provider Demographics
NPI:1598816951
Name:SHOLLAR, ANNE MARIE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:SHOLLAR
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 1:315 E 70TH ST
Mailing Address - Street 2:APT 12 T
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-8657
Mailing Address - Country:US
Mailing Address - Phone:212-744-6990
Mailing Address - Fax:718-519-2410
Practice Address - Street 1:315 E 70TH ST
Practice Address - Street 2:APT 12 T
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-8657
Practice Address - Country:US
Practice Address - Phone:212-744-6990
Practice Address - Fax:718-519-2410
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO13634-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health