Healthcare Provider Details

I. General information

NPI: 1568387249
Provider Name (Legal Business Name): ANNA METZLER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 GOLDEN HILL LN
KINGSTON NY
12401-6452
US

IV. Provider business mailing address

6920 VINEYARD LN
LOWVILLE NY
13367-2874
US

V. Phone/Fax

Practice location:
  • Phone: 845-340-4105
  • Fax:
Mailing address:
  • Phone: 315-405-2748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132626
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: