Provider Demographics
NPI:1396088175
Name:SOBCZAK, ANNE LYNN (ASW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:LYNN
Last Name:SOBCZAK
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20436 UPPER HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-8832
Mailing Address - Country:US
Mailing Address - Phone:650-533-4943
Mailing Address - Fax:
Practice Address - Street 1:20436 UPPER HILLVIEW DR
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-8832
Practice Address - Country:US
Practice Address - Phone:650-533-4943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-31
Last Update Date:2013-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA346601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical