Provider Demographics
NPI:1275841157
Name:SCHMIDT, ANNE VINCENT (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:VINCENT
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:SCHMIDT
Other - Last Name:KEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:885 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CEDAREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:81413-3533
Mailing Address - Country:US
Mailing Address - Phone:970-361-8331
Mailing Address - Fax:
Practice Address - Street 1:195 STAFFORD LANE
Practice Address - Street 2:HOSPICE & PALLIATIVE CARE OF WESTERN CO
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416
Practice Address - Country:US
Practice Address - Phone:970-361-8331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9927511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical