Healthcare Provider Details

I. General information

NPI: 1386370518
Provider Name (Legal Business Name): ANNA LOUISE HEBB L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CLAREMONT LN STE 103
CROZET VA
22932-3455
US

IV. Provider business mailing address

PO BOX 28
CROZET VA
22932-0028
US

V. Phone/Fax

Practice location:
  • Phone: 434-466-1588
  • Fax: 866-289-5249
Mailing address:
  • Phone: 434-466-1588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008035
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: