Provider Demographics
NPI:1588173017
Name:LAYDEN, ANN (LICSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:LAYDEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 MAIN STREET
Mailing Address - Street 2:STE 1, #472
Mailing Address - City:LEICESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01524-1904
Mailing Address - Country:US
Mailing Address - Phone:508-859-0291
Mailing Address - Fax:
Practice Address - Street 1:1199 MAIN STREET
Practice Address - Street 2:STE 1, #472
Practice Address - City:LEICESTER
Practice Address - State:MA
Practice Address - Zip Code:01524-1904
Practice Address - Country:US
Practice Address - Phone:508-859-0291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW147871041C0700X
MA1235051041C0700X
LA147831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical