Provider Demographics
NPI:1689018889
Name:LITSEY, ANNE UPDYKE (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:UPDYKE
Last Name:LITSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:UPDYKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:138 GREEN GABLES CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1163
Mailing Address - Country:US
Mailing Address - Phone:936-524-1088
Mailing Address - Fax:
Practice Address - Street 1:138 GREEN GABLES CIR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1163
Practice Address - Country:US
Practice Address - Phone:936-524-1088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX535901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical