Provider Demographics
NPI:1023074994
Name:KRICHINSKY, ANNA M (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:KRICHINSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4639 NEWCOM AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5131
Mailing Address - Country:US
Mailing Address - Phone:865-588-9766
Mailing Address - Fax:865-588-1476
Practice Address - Street 1:4639 NEWCOM AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5131
Practice Address - Country:US
Practice Address - Phone:865-588-9766
Practice Address - Fax:865-588-1476
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000036541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNLSW0000003654OtherCLINICAL SOCIAL WORKER
TNLSW0000003654OtherCLINICAL SOCIAL WORKER