National Provider Identifier
Anissa Mary Libardi, LCSW
Anissa Mary Libardi, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 482-4836.
Profile Overview
- NPI
- 1275817108
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 11, 2011
- Last Updated
- October 11, 2011
Practice Location
- 131 W Broad St
- Rochester, NY 14614-1103
Phone: (585) 482-4836
Mailing Address
- 22 Ambush Ln
- Churchville, NY 14428-9227
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1275817108
- Entity Type
- Individual
- Last Name
- Libardi
- First Name
- Anissa
- Middle Name
- Mary
- Name Prefix
- Mrs.
- Credential
- LCSW
- Mailing Street Address
- 22 Ambush Ln
- Mailing City
- Churchville
- Mailing State
- NY
- Mailing ZIP Code
- 14428-9227
- Mailing Country
- US
- Practice Street Address
- 131 W Broad St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14614-1103
- Practice Country
- US
- Practice Phone
- (585) 482-4836
- Practice Fax
- (585) 935-7428
- Enumeration Date
- October 11, 2011
- Last Updated
- October 11, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)