Provider Demographics
NPI:1700320926
Name:MURRAY, ANNE C (LMSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:C
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3135 GODWIN TER
Mailing Address - Street 2:APT 2E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3135 GODWIN TER
Practice Address - Street 2:APT 2E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5450
Practice Address - Country:US
Practice Address - Phone:484-515-5196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082828-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker