Provider Demographics
NPI:1629125588
Name:GREENE, ANN TOBY (ACSW LCSW)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:TOBY
Last Name:GREENE
Suffix:
Gender:F
Credentials:ACSW LCSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:TOBY
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:157 DOGWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567
Mailing Address - Country:US
Mailing Address - Phone:914-736-2250
Mailing Address - Fax:914-736-2250
Practice Address - Street 1:925 CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566
Practice Address - Country:US
Practice Address - Phone:914-659-7971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR01931911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical