Provider Demographics
NPI:1750015194
Name:MCINNES, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MCINNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 FRANKLIN ST APT 108
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4084
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:237 FRANKLIN ST
Practice Address - Street 2:108
Practice Address - City:CAMBRIDGE
Practice Address - State:USA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:781-844-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker