Individual provider · Type 1 NPI

Laura Ida Anthony, LCSW

Clinical Social Worker · St. Petersburg, FL

NPI number 1114404506 Active

Practice location

7901 4th St N # 29161
St. Petersburg, FL 33702-4305

Fax (727) 295-1938

Mailing address

12773 Mangrove Forest Dr
Riverview, FL 33579-2455

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC013404 (NC)
Clinical Social Worker 1041C0700X9630 (TN)
Clinical Social Worker Primary 1041C0700XSW22193 (FL)
Clinical Social Worker 1041C0700X0904017875 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114404506

Laura Ida Anthony, LCSW's National Provider Identifier is 1114404506, issued on Jul 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 23, 2026.