Provider Demographics
NPI:1821505025
Name:DULANEY, ANNE R (LICSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:R
Last Name:DULANEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HOSPITAL PLZ
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-9316
Mailing Address - Country:US
Mailing Address - Phone:304-623-5661
Mailing Address - Fax:304-623-2989
Practice Address - Street 1:34 COMMERCE DR STE 204-207
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:WV
Practice Address - Zip Code:26501-3896
Practice Address - Country:US
Practice Address - Phone:304-241-1708
Practice Address - Fax:304-381-2054
Is Sole Proprietor?:No
Enumeration Date:2018-01-09
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009436991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical