Provider Demographics
NPI:1700013141
Name:LOONEY, ANA MARIA (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:ANA MARIA
Middle Name:
Last Name:LOONEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:RENGIFO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:585 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-1906
Mailing Address - Country:US
Mailing Address - Phone:508-831-0045
Mailing Address - Fax:508-853-1264
Practice Address - Street 1:214 HOWARD ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8311
Practice Address - Country:US
Practice Address - Phone:508-875-5801
Practice Address - Fax:508-853-1264
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2220002001OtherBLUE CROSS
MA1306421Medicaid
MA1308785Medicaid
MAM18684OtherBLUE CROSS
MA1308785Medicaid