Provider Demographics
NPI:1942807029
Name:FOSTER, ANNE (LMSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:720 MAGNOLIA RD STE 20
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7094
Mailing Address - Country:US
Mailing Address - Phone:843-225-8052
Mailing Address - Fax:
Practice Address - Street 1:720 MAGNOLIA RD STE 20
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7094
Practice Address - Country:US
Practice Address - Phone:843-225-8052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13161104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker