Provider Demographics
NPI:1275913915
Name:ARNOLD-GRINDY, ANNA JEAN (LICSW, EDS)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:JEAN
Last Name:ARNOLD-GRINDY
Suffix:
Gender:F
Credentials:LICSW, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13806 228TH ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-9838
Mailing Address - Country:US
Mailing Address - Phone:425-737-0223
Mailing Address - Fax:
Practice Address - Street 1:135 N OLYMPIC AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1335
Practice Address - Country:US
Practice Address - Phone:360-474-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60534509101YM0800X
WASC605345441041C0700X
WALW606559601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health