Provider Demographics
NPI:1518112044
Name:KAHN, ANN SUTTON (LCSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:SUTTON
Last Name:KAHN
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 1:9 UPPERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4923
Mailing Address - Country:US
Mailing Address - Phone:973-267-5645
Mailing Address - Fax:
Practice Address - Street 1:9 UPPERFIELD RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4923
Practice Address - Country:US
Practice Address - Phone:973-267-5645
Practice Address - Fax:973-292-9348
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00437500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP90169Medicare PIN