Provider Demographics
NPI:1083700272
Name:SOMMERS, DEANNA LYNN (MSW ACSW)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:LYNN
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:MSW ACSW
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:LYNN
Other - Last Name:DONALDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:624 W HASTINGS RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218
Mailing Address - Country:US
Mailing Address - Phone:509-838-9072
Mailing Address - Fax:509-624-5016
Practice Address - Street 1:624 W HASTINGS RD
Practice Address - Street 2:SUITE 9
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218
Practice Address - Country:US
Practice Address - Phone:509-838-9072
Practice Address - Fax:509-624-5016
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000045721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB10705Medicare ID - Type Unspecified
S85850Medicare UPIN