Provider Demographics
NPI:1629279849
Name:TSCHUPP, ANJANETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANJANETTE
Middle Name:
Last Name:TSCHUPP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CHEYENNE DR APT L
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-6511
Mailing Address - Country:US
Mailing Address - Phone:336-988-9842
Mailing Address - Fax:
Practice Address - Street 1:204 MUIRS CHAPEL RD STE 100
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-6174
Practice Address - Country:US
Practice Address - Phone:336-988-9842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA239441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA23944OtherLICENSED CLINICAL SW
NCC013811OtherNC BOARD OF SOCIAL WORK