Provider Demographics
NPI:1679746002
Name:FLETCHER, ANNA MORGAN (LICSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MORGAN
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MORGAN
Other - Last Name:GALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:9237 7TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2126
Mailing Address - Country:US
Mailing Address - Phone:206-375-0636
Mailing Address - Fax:
Practice Address - Street 1:619 N 35TH ST STE 307
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8641
Practice Address - Country:US
Practice Address - Phone:360-524-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA606449571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical