Provider Demographics
NPI:1013004316
Name:CARPENTER, ANNE SEAGLE (LCMSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:SEAGLE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:LCMSW
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:ELIZABETH
Other - Last Name:SEAGLE CARPENTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:19700 BING RD
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7118
Mailing Address - Country:US
Mailing Address - Phone:206-595-7822
Mailing Address - Fax:425-640-2618
Practice Address - Street 1:6920 220TH ST SW
Practice Address - Street 2:STE. 106
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2177
Practice Address - Country:US
Practice Address - Phone:425-640-9777
Practice Address - Fax:425-640-5122
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000058471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical