Provider Demographics
NPI:1437564838
Name:SCHNEIDERMAN, ANNA WADDELL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:WADDELL
Last Name:SCHNEIDERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6416 CARMEL ROAD
Mailing Address - Street 2:SUITE 407
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226
Mailing Address - Country:US
Mailing Address - Phone:704-769-0424
Mailing Address - Fax:704-899-2867
Practice Address - Street 1:6416 CARMEL ROAD
Practice Address - Street 2:SUITE 407
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226
Practice Address - Country:US
Practice Address - Phone:704-769-0424
Practice Address - Fax:704-899-2867
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC010488101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health