Healthcare Provider Details

I. General information

NPI: 1770499600
Provider Name (Legal Business Name): ANCRE CARE LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 W 51ST ST STE 4210
NEW YORK NY
10020-1606
US

IV. Provider business mailing address

40 W 51ST ST STE 4210
NEW YORK NY
10020-1606
US

V. Phone/Fax

Practice location:
  • Phone: 917-935-9114
  • Fax:
Mailing address:
  • Phone: 917-935-9114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: LANI WELLER
Title or Position: MEMBER
Credential: LCSW
Phone: 917-935-9114