Provider Demographics
NPI:1295864841
Name:RACKLIFFE, ANNE WINSHIP (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:WINSHIP
Last Name:RACKLIFFE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 SZOST DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-4055
Mailing Address - Country:US
Mailing Address - Phone:203-209-3169
Mailing Address - Fax:
Practice Address - Street 1:429 SZOST DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-4055
Practice Address - Country:US
Practice Address - Phone:203-209-3169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213527104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker