Provider Demographics
NPI:1720166036
Name:HUDAK, ANNA MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIE
Last Name:HUDAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 ROUTE 71
Mailing Address - Street 2:UNIT 202
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-3222
Mailing Address - Country:US
Mailing Address - Phone:908-419-4722
Mailing Address - Fax:732-280-8514
Practice Address - Street 1:1010 ROUTE 71
Practice Address - Street 2:UNIT 202
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-3222
Practice Address - Country:US
Practice Address - Phone:908-419-4722
Practice Address - Fax:732-280-8514
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053044001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical