Provider Demographics
NPI:1144627514
Name:KLINGER, ANNA JENNIFER (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:JENNIFER
Last Name:KLINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 QUINCY ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-7075
Mailing Address - Country:US
Mailing Address - Phone:917-929-6323
Mailing Address - Fax:
Practice Address - Street 1:10 QUINCY ST APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-7075
Practice Address - Country:US
Practice Address - Phone:917-929-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-01
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087853104100000X, 1041C0700X
NY090459-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker