| Doctor Name: | NINA R. ANISKEVICH |
| NPI Number: | 1306204581 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CW018864 |
| Business Practice Address: | 511 W Main St Suite 200 Trappe, PA - 194261923 |
| Business Phone Number: | 4845530732 |
| Business Fax Number: | |
| Mailing Address: | 625 Franklin St, LANSDALE |
| State: | PA |
| Postal Code: | 194463738 |
| Phone Number: | 4845530732 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2016 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW018864 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |