Provider Demographics
NPI:1467652966
Name:MINOR, ANNE L (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:L
Last Name:MINOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 N NASH STREET,
Mailing Address - Street 2:1506
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-1569
Mailing Address - Country:US
Mailing Address - Phone:512-589-8731
Mailing Address - Fax:
Practice Address - Street 1:1655 FORT MYER DRIVE
Practice Address - Street 2:700
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209
Practice Address - Country:US
Practice Address - Phone:512-589-8731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical