Provider Demographics
NPI:1861598872
Name:KUEHNER, ANN (CSW)
Entity type:Individual
Prefix:MISS
First Name:ANN
Middle Name:
Last Name:KUEHNER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HALL AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-6309
Mailing Address - Country:US
Mailing Address - Phone:845-357-1532
Mailing Address - Fax:845-357-1532
Practice Address - Street 1:14 HALL AVE
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-6309
Practice Address - Country:US
Practice Address - Phone:845-357-1532
Practice Address - Fax:845-357-1532
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSW R 00074411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN08761Medicare ID - Type Unspecified