Provider Demographics
NPI:1023562113
Name:HRAFNSDOTTIR, ANNA GRETA (MSW, LGSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:GRETA
Last Name:HRAFNSDOTTIR
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 ABOUT TOWN PL
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-5826
Mailing Address - Country:US
Mailing Address - Phone:304-291-2912
Mailing Address - Fax:304-291-2812
Practice Address - Street 1:1102 ABOUT TOWN PL
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-5826
Practice Address - Country:US
Practice Address - Phone:304-291-2912
Practice Address - Fax:304-291-2812
Is Sole Proprietor?:No
Enumeration Date:2016-08-07
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009446881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical