Provider Demographics
NPI:1013782069
Name:ASKANAZI, ANNAKA
Entity Type:Individual
Prefix:
First Name:ANNAKA
Middle Name:
Last Name:ASKANAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19373 SAINT FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2535
Mailing Address - Country:US
Mailing Address - Phone:616-594-9222
Mailing Address - Fax:
Practice Address - Street 1:95 VICTOR ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3129
Practice Address - Country:US
Practice Address - Phone:313-252-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker