Provider Demographics
NPI:1013276286
Name:WINKES-ANTHONY, ROXANNA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ROXANNA
Middle Name:
Last Name:WINKES-ANTHONY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 E TIMONIUM RD
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3426
Mailing Address - Country:US
Mailing Address - Phone:410-419-7214
Mailing Address - Fax:410-528-6004
Practice Address - Street 1:52 E TIMONIUM RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3426
Practice Address - Country:US
Practice Address - Phone:410-419-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD055361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD214509000Medicaid