Provider Demographics
NPI:1912580606
Name:GALINDEZ, ANNA G (MSW, LSW, LCADC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:G
Last Name:GALINDEZ
Suffix:
Gender:F
Credentials:MSW, LSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GARDEN ST STE 306
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1947
Mailing Address - Country:US
Mailing Address - Phone:609-880-5047
Mailing Address - Fax:
Practice Address - Street 1:11 GARDEN ST STE 306
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1947
Practice Address - Country:US
Practice Address - Phone:609-880-5047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06308600104100000X
NJ37LC00396000101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SL06308600Medicaid