Healthcare Provider Details

I. General information

NPI: 1124182217
Provider Name (Legal Business Name): ANNE TOREN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1197 VAN VOORHIS RD
MORGANTOWN WV
26505-3478
US

IV. Provider business mailing address

215C RIVERVIEW CT APT C
MORGANTOWN WV
26501-5919
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-1975
  • Fax: 304-599-2705
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP00939875
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: