Individual
ANN B WINNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001924A
IN
1041C0700X
Clinical Social Worker
484
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056294
ANTHEM GROUP
—
01
—
50704000
MAGELLAN GROUP MIS
—
05
—
8200099300
—
KY
Enumeration date
07/05/2005
Last updated
08/05/2016
Update your record
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