MEDICARE: ANNE J. GALINANES, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW8592	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AM164A	OTHER		MEDICARE PTAN

General Provider Information

NPI Number	:	1720448475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE J. GALINANES, LCSW

Provider Business Mailing Address
First Line	:	602 SW 7TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-3814
Country	:	US
Telephone Number	:	954-798-5705
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 SW 7TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-3814
Country	:	US
Telephone Number	:	954-798-5705
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	ANNE JULIETTE GALINANES
Credential	:	LCSW
Telephone Number	:	954-798-5705

Provider Enumeration Date	:	02/23/2016
Last Update Date	:	02/23/2016

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