Provider Demographics
NPI:1992561013
Name:TSCHOPP, ANNA N (LMSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:N
Last Name:TSCHOPP
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4993 ALFRED DR
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-6907
Mailing Address - Country:US
Mailing Address - Phone:315-491-9356
Mailing Address - Fax:
Practice Address - Street 1:4993 ALFRED DR
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-6907
Practice Address - Country:US
Practice Address - Phone:315-491-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122809-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health