Provider Demographics
NPI:1497572135
Name:LOUGHMAN, ANNA (MSW)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:
Last Name:LOUGHMAN
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:MISS
Other - First Name:ISSANNA
Other - Middle Name:
Other - Last Name:LOUGHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:158 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NH
Mailing Address - Zip Code:03887-4466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4483
Practice Address - Country:US
Practice Address - Phone:562-614-3686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical