Provider Demographics
NPI:1720195126
Name:SCHOLDER, ANNE (LISW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SCHOLDER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FRASCO RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-8842
Mailing Address - Country:US
Mailing Address - Phone:505-466-2333
Mailing Address - Fax:505-466-2300
Practice Address - Street 1:14 FRASCO RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-8842
Practice Address - Country:US
Practice Address - Phone:505-466-2333
Practice Address - Fax:505-466-2300
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM I 0464104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker