Provider Demographics
NPI:1013523489
Name:SHULTZ, ANNA (MSW-NH, MSW-ME)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SHULTZ
Suffix:
Gender:F
Credentials:MSW-NH, MSW-ME
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:DEPOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:178 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-4352
Mailing Address - Country:US
Mailing Address - Phone:603-994-6939
Mailing Address - Fax:603-335-6569
Practice Address - Street 1:178 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-4352
Practice Address - Country:US
Practice Address - Phone:603-994-6939
Practice Address - Fax:603-335-6569
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker