Provider Demographics
NPI:1417184276
Name:WARREN, KATHRYN ALTMAS (MSW)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ALTMAS
Last Name:WARREN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:KATHRYN
Other - Last Name:ALTMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1307 133RD STREET CT E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-3553
Mailing Address - Country:US
Mailing Address - Phone:724-992-8902
Mailing Address - Fax:
Practice Address - Street 1:9921B E JOHNSON ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1527
Practice Address - Country:US
Practice Address - Phone:253-968-5484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker