1720448475 NPI number — ANNE J. GALINANES, LCSW

Table of content: (NPI 1720448475)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720448475 NPI number — ANNE J. GALINANES, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANNE J. GALINANES, LCSW
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720448475
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
602 SW 7TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33315-3814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-798-5705
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
602 SW 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33315-3814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-798-5705
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2016

Additional Information

Authorized Official

Authorized Official Last Name:
GALINANES
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
JULIETTE
Authorized Official Title or Position:
PSYCHOTHERAPIST
Authorized Official Telephone Number:
954-798-5705

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW8592 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AM164A . This is a "MEDICARE PTAN" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com