Healthcare Provider Details

I. General information

NPI: 1891474995
Provider Name (Legal Business Name): ANNA MARIE HEFNER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA MARIE SAUNDERS LMSW

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 07/17/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E 11TH ST
SPENCER IA
51301-4436
US

IV. Provider business mailing address

408 E 4TH ST
PETERSON IA
51047-7724
US

V. Phone/Fax

Practice location:
  • Phone: 712-262-2922
  • Fax:
Mailing address:
  • Phone: 605-728-3013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number101190
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: