Provider Demographics
NPI:1386204212
Name:SEE-JACHOWSKI, ANNA AILEEN (LMSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:AILEEN
Last Name:SEE-JACHOWSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N JEFFERSON ST STE 406
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4823
Mailing Address - Country:US
Mailing Address - Phone:703-728-4848
Mailing Address - Fax:
Practice Address - Street 1:10 N JEFFERSON ST STE 406
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4823
Practice Address - Country:US
Practice Address - Phone:703-728-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD230661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical