Provider Demographics
NPI:1629622154
Name:CORRY, ANJENNETT (LCSW)
Entity Type:Individual
Prefix:
First Name:ANJENNETT
Middle Name:
Last Name:CORRY
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 1:803 NEW RD FL 2
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-1846
Mailing Address - Country:US
Mailing Address - Phone:856-725-0076
Mailing Address - Fax:
Practice Address - Street 1:803 NEW RD FL 2
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-1846
Practice Address - Country:US
Practice Address - Phone:856-725-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical