Provider Demographics
NPI:1710573456
Name:HASELMANN, ANNA SANK (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:SANK
Last Name:HASELMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:JOY
Other - Last Name:SANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:21 RUTHVEN PL
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3620
Mailing Address - Country:US
Mailing Address - Phone:908-868-2078
Mailing Address - Fax:
Practice Address - Street 1:21 RUTHVEN PL
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3620
Practice Address - Country:US
Practice Address - Phone:908-868-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001572001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical