Provider Demographics
NPI:1124062153
Name:MENKE, ANNE K (MSS, LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:MENKE
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:HARMAN-MENKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSS, LCSW
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:3550 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8626
Practice Address - Country:US
Practice Address - Phone:717-851-6340
Practice Address - Fax:717-851-6349
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW006667L104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA290118000OtherMAGELLAN
PA01098801OtherCAPITAL BLUE SHIELD
PA1679690OtherPABS (FEP ONLY)
PA454662OtherVALUE OPTIONS
PA295613OtherMAMSI
PA2146286OtherCIGNA BEHAVIORAL HEALTH
PA611697OtherBC/BBS OF MD CARE FIRST
PA611697OtherBC/BBS OF MD CARE FIRST
PA2146286OtherCIGNA BEHAVIORAL HEALTH