Provider Demographics
NPI:1689479370
Name:CULBERTSON, ANNA BROOKE (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:BROOKE
Last Name:CULBERTSON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8956 RESEARCH BLVD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5969
Mailing Address - Country:US
Mailing Address - Phone:501-554-5559
Mailing Address - Fax:
Practice Address - Street 1:8956 RESEARCH BLVD BLDG 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5969
Practice Address - Country:US
Practice Address - Phone:501-554-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1086611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical