Anne Frances Dury, LISW, LICDC, OCPSII

Individual provider Active NPI Clinical Social Worker · Oberlin, OH

NPI 1083834337 · NPPES record last updated Sep 26, 2008

Key facts

NPI
1083834337
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I-0009806 (OH)
Practice address
5 S Main St Ste 205
Oberlin, OH 44074-1600
Phone
(440) 499-5323
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
954227OHMDAddiction (Substance Use Disorder) Counselor
0821-C99OHMDSocial Worker
I-0009806OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 954227 OH
Social Worker 104100000X 0821-C99 OH
Clinical Social Worker 1041C0700X I-0009806 OH Yes

Addresses

Primary practice location

5 S Main St Ste 205
Oberlin, OH 44074-1600

Mailing address

1812 W 42ND St
Lorain, OH 44053-2614
Phone (440) 225-7316

Other providers in Oberlin, OH

All providers in Oberlin, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.