Provider Demographics
NPI:1487762910
Name:COONEY, ANNE STUBBS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:STUBBS
Last Name:COONEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BEACHVIEW DR
Mailing Address - Street 2:2 NORTH
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-3672
Mailing Address - Country:US
Mailing Address - Phone:772-231-0520
Mailing Address - Fax:
Practice Address - Street 1:1500 36TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7323
Practice Address - Country:US
Practice Address - Phone:772-564-0406
Practice Address - Fax:772-564-0407
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW54591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical