Provider Demographics
NPI:1891260071
Name:ANN L. BETZ, LCSW, PLLC
Entity Type:Organization
Organization Name:ANN L. BETZ, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BETZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:585-241-3810
Mailing Address - Street 1:190 S GOODMAN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2651
Mailing Address - Country:US
Mailing Address - Phone:585-241-3810
Mailing Address - Fax:585-242-8915
Practice Address - Street 1:190 S GOODMAN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2651
Practice Address - Country:US
Practice Address - Phone:585-241-3810
Practice Address - Fax:585-242-8915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty