National Provider Identifier
Anne Louise Fordham, LCSW
Anne Louise Fordham, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Newark, NY and a listed phone number of (315) 882-4843.
Profile Overview
- NPI
- 1306479357
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 18, 2020
- Last Updated
- February 18, 2020
Practice Location
- 1159 E Union St Apt 1
- Newark, NY 14513-9201
Phone: (315) 882-4843
Mailing Address
- 1159 E Union St
- Newark, NY 14513-9201
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1306479357
- Entity Type
- Individual
- Last Name
- Fordham
- First Name
- Anne
- Middle Name
- Louise
- Credential
- LCSW
- Mailing Street Address
- 1159 E Union St
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9201
- Mailing Country
- US
- Mailing Phone
- (315) 882-4843
- Practice Street Address
- 1159 E Union St Apt 1
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-9201
- Practice Country
- US
- Practice Phone
- (315) 882-4843
- Enumeration Date
- February 18, 2020
- Last Updated
- February 18, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)