Provider Demographics
NPI:1669299632
Name:CARTAGENA, ANNA R (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:R
Last Name:CARTAGENA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:R
Other - Last Name:CARTAGENA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3812 SAWTOOTH DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-4521
Mailing Address - Country:US
Mailing Address - Phone:845-705-5242
Mailing Address - Fax:
Practice Address - Street 1:3812 SAWTOOTH DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-4521
Practice Address - Country:US
Practice Address - Phone:845-705-5242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1038991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical