Provider Demographics
NPI:1215654439
Name:JOSEPHS, ANYA LEIGH (LMSW)
Entity type:Individual
Prefix:
First Name:ANYA
Middle Name:LEIGH
Last Name:JOSEPHS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W 136TH ST # 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-2606
Mailing Address - Country:US
Mailing Address - Phone:919-943-7838
Mailing Address - Fax:
Practice Address - Street 1:115 W 136TH ST # 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-2606
Practice Address - Country:US
Practice Address - Phone:919-943-7838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1169291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical