Provider Demographics
NPI:1891873279
Name:DOOLEY, ANNE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4636
Mailing Address - Country:US
Mailing Address - Phone:845-353-1028
Mailing Address - Fax:
Practice Address - Street 1:321 W 78TH ST
Practice Address - Street 2:#1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6513
Practice Address - Country:US
Practice Address - Phone:212-724-5466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0150651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical