Provider Demographics
NPI:1912958844
Name:ANESI, CATHERINE (LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:ANESI
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:PO BOX 467
Mailing Address - Street 2:
Mailing Address - City:CRUGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10521-0467
Mailing Address - Country:US
Mailing Address - Phone:914-589-7188
Mailing Address - Fax:
Practice Address - Street 1:5 DICKERSON RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-6610
Practice Address - Country:US
Practice Address - Phone:914-589-7188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0719901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00355940Medicaid
NY071990OtherNYS LICENSE #
NY1285628552OtherJDAM NPI
NYWVE061Medicare ID - Type UnspecifiedJDAM MEDICARE PROVIDER #