Provider Demographics
NPI:1982129417
Name:HENNESSEY, ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:HENNESSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:NUITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1064 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3600
Mailing Address - Country:US
Mailing Address - Phone:845-896-6751
Mailing Address - Fax:845-227-2524
Practice Address - Street 1:1064 MAIN ST
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3600
Practice Address - Country:US
Practice Address - Phone:845-896-6751
Practice Address - Fax:845-227-2524
Is Sole Proprietor?:No
Enumeration Date:2017-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085228-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
14045153OtherCAQH