Provider Demographics
NPI:1013479088
Name:JEFFREY, ANN LOUISE (MSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE
Last Name:JEFFREY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 BROADWAY RM 240
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7504
Mailing Address - Country:US
Mailing Address - Phone:718-499-9631
Mailing Address - Fax:
Practice Address - Street 1:1140 BROADWAY RM 204
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7504
Practice Address - Country:US
Practice Address - Phone:917-720-2764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical