Provider Demographics
NPI:1720688070
Name:KAMINSKI, ANNE MARIE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 WHEELOCK RD
Mailing Address - Street 2:C/O ANNE KAMINSKI
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-2431
Mailing Address - Country:US
Mailing Address - Phone:774-545-9444
Mailing Address - Fax:
Practice Address - Street 1:83 WHEELOCK RD
Practice Address - Street 2:C/O ANNE KAMINSKI
Practice Address - City:SUTTON
Practice Address - State:MA
Practice Address - Zip Code:01590-2431
Practice Address - Country:US
Practice Address - Phone:774-545-9444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10278791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical