Provider Demographics
NPI:1558925073
Name:ANN A GOLDFARB LCSW PLLC
Entity type:Organization
Organization Name:ANN A GOLDFARB LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOLDFARB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-364-8638
Mailing Address - Street 1:4525 VERONE ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5513
Mailing Address - Country:US
Mailing Address - Phone:832-724-0814
Mailing Address - Fax:
Practice Address - Street 1:2006 COMMONWEALTH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1804
Practice Address - Country:US
Practice Address - Phone:713-364-8638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty