Provider Demographics
NPI:1992842447
Name:LITTLE, ANNE MEAD (LICSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MEAD
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6093
Mailing Address - Country:US
Mailing Address - Phone:802-251-7220
Mailing Address - Fax:802-258-4543
Practice Address - Street 1:55 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6093
Practice Address - Country:US
Practice Address - Phone:802-251-7220
Practice Address - Fax:802-258-4543
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00011271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical