Provider Demographics
NPI:1689887689
Name:SMITH, ANNE HARSHAW (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:HARSHAW
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSW
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 31152
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20030-1152
Mailing Address - Country:US
Mailing Address - Phone:301-613-4471
Mailing Address - Fax:301-877-0098
Practice Address - Street 1:7801 OLD BRANCH AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1608
Practice Address - Country:US
Practice Address - Phone:301-613-4471
Practice Address - Fax:301-877-0098
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC30008661041C0700X
MD129381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCN163OtherBLUECROSSBLUESHIELDGROUP#
MD500CHAOtherBLUECROSSBLUESHIELDGROUP#
MD648771-01OtherBLUECROSS BLUESHIELD
DCN1630002OtherBLUECROSS BLUESHIELD