Provider Demographics
NPI:1922344217
Name:STONE, ANTHONY E (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:E
Last Name:STONE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 S 2ND ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2632
Mailing Address - Country:US
Mailing Address - Phone:541-480-8014
Mailing Address - Fax:
Practice Address - Street 1:6 S 2ND ST
Practice Address - Street 2:SUITE 316
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2632
Practice Address - Country:US
Practice Address - Phone:541-480-8014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-14
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL53911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical