Individual
ANN B WINNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2580 CHARLESTOWN RD, NEW ALBANY, IN 47150-2555
(502) 548-3957
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
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
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