Healthcare Provider Details

I. General information

NPI: 1285120501
Provider Name (Legal Business Name): ANNE KATHRYN ZINK MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 EXECUTIVE PARKWAY DR STE 120
SAINT LOUIS MO
63141-6369
US

IV. Provider business mailing address

7148 OAK STREAM DR
O FALLON MO
63368-8125
US

V. Phone/Fax

Practice location:
  • Phone: 314-737-0020
  • Fax:
Mailing address:
  • Phone: 636-219-6860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: