Healthcare Provider Details

I. General information

NPI: 1861385197
Provider Name (Legal Business Name): ANNE LIEBER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 AUER CT STE D
EAST BRUNSWICK NJ
08816-5828
US

IV. Provider business mailing address

1016 KISSAM CT
SOUTH PLAINFIELD NJ
07080-2431
US

V. Phone/Fax

Practice location:
  • Phone: 732-390-0007
  • Fax:
Mailing address:
  • Phone: 412-417-5771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06496700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: