Provider Demographics
NPI:1932279601
Name:LIPSHUTZ, ANNA GENE (MSS, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:GENE
Last Name:LIPSHUTZ
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:GENE
Other - Last Name:LIPSHUTZ-HUROWITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSS, LCSW
Mailing Address - Street 1:600 HAVERFORD RD
Mailing Address - Street 2:SUITE G104
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1139
Mailing Address - Country:US
Mailing Address - Phone:610-649-6344
Mailing Address - Fax:610-649-6930
Practice Address - Street 1:600 HAVERFORD RD
Practice Address - Street 2:SUITE G104
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1139
Practice Address - Country:US
Practice Address - Phone:610-649-6344
Practice Address - Fax:610-649-6930
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0137391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical