Provider Demographics
NPI:1841743192
Name:PUGH, ANNE FRANCES (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:FRANCES
Last Name:PUGH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 SANTA BARBARA RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2017
Mailing Address - Country:US
Mailing Address - Phone:510-653-4213
Mailing Address - Fax:
Practice Address - Street 1:861 SANTA BARBARA RD
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2017
Practice Address - Country:US
Practice Address - Phone:510-653-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA276501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical