Provider Demographics
NPI:1669540514
Name:LUFTIG, ANITA (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:
Last Name:LUFTIG
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 WEST 3RD STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1239
Mailing Address - Country:US
Mailing Address - Phone:718-575-3780
Mailing Address - Fax:718-575-3780
Practice Address - Street 1:123 WEST 3RD STREET
Practice Address - Street 2:SUITE A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1239
Practice Address - Country:US
Practice Address - Phone:718-575-3780
Practice Address - Fax:718-575-3780
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR02305211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP621876OtherOXFORD HEALTH PLANS
NY0007127OtherGHI
NY053581OtherVALUE OPTION
NYN6372OtherEMPIRE BCBS
TX0885822OtherAETNA BEHAVIORAL HEALTH
CA108611OtherMHN
CTP621876OtherOXFORD HEALTH PLANS