Provider Demographics
NPI:1437422904
Name:CLAWSON, ANNA MARIA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:CLAWSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:RANGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:400 S STATE ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-2067
Mailing Address - Country:US
Mailing Address - Phone:616-566-1470
Mailing Address - Fax:
Practice Address - Street 1:456 CENTURY LN
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4296
Practice Address - Country:US
Practice Address - Phone:616-566-1470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL15543421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical