Provider Demographics
NPI:1104576503
Name:TERMINI, ANNE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:TERMINI
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 1:14 N LAWSONA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2146
Mailing Address - Country:US
Mailing Address - Phone:914-522-3464
Mailing Address - Fax:
Practice Address - Street 1:14 N LAWSONA BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2146
Practice Address - Country:US
Practice Address - Phone:914-522-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NCB001080104100000X
NY059895-01104100000X
VT156.0133937104100000X
MT50731104100000X
MELC226311041C0700X
FL215581041C0700X
FLSW215581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker