Provider Demographics
NPI:1548501109
Name:CUTTITTA, ANTHONY (LCSW)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:CUTTITTA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 SARAH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2262
Mailing Address - Country:US
Mailing Address - Phone:570-420-9807
Mailing Address - Fax:570-424-5283
Practice Address - Street 1:729 SARAH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2262
Practice Address - Country:US
Practice Address - Phone:570-420-9807
Practice Address - Fax:570-424-5283
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0123441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical