Individual
ANNA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1745 PENFIELD RD, PENFIELD, NY 14526-2139
(607) 772-6904
(607) 722-4123
Mailing address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6904
(607) 722-4123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997780
—
NY
Enumeration date
09/08/2025
Last updated
09/08/2025
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