Provider Demographics
NPI:1780904284
Name:FOCHT, ANNE M (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:FOCHT
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:N5546 COUNTY HIGHWAY M
Mailing Address - Street 2:
Mailing Address - City:SPOONER
Mailing Address - State:WI
Mailing Address - Zip Code:54801-7294
Mailing Address - Country:US
Mailing Address - Phone:715-520-2062
Mailing Address - Fax:
Practice Address - Street 1:N4851 HIGHWAY 63
Practice Address - Street 2:
Practice Address - City:SPOONER
Practice Address - State:WI
Practice Address - Zip Code:54801-8675
Practice Address - Country:US
Practice Address - Phone:715-635-4858
Practice Address - Fax:715-635-4861
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7644-123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker