Individual
ANITA M SACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
41 W 96TH ST # 6D, NEW YORK, NY 10025-6519
(212) 865-6959
Mailing address
41 W 96TH ST # 6D, NEW YORK, NY 10025-6519
(212) 865-6959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR004875-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GHI
7491989
NY
01
—
VALUE OPTIONS
145548
NY
Enumeration date
10/10/2006
Last updated
05/25/2023
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