Provider Demographics
NPI:1760513311
Name:FARHOOD, ANN E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:E
Last Name:FARHOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHRIS
Other - Middle Name:ANN
Other - Last Name:FARHOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:315 W 57TH ST
Mailing Address - Street 2:SUITE #307
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3158
Mailing Address - Country:US
Mailing Address - Phone:212-582-7326
Mailing Address - Fax:
Practice Address - Street 1:315 W 57TH ST
Practice Address - Street 2:SUITE #307
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3158
Practice Address - Country:US
Practice Address - Phone:212-582-7326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0192091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN13251Medicare ID - Type UnspecifiedLCSW