Provider Demographics
NPI:1932306248
Name:O'CONNOR, ANNA KATHERINE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:KATHERINE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:KURTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1340 ARNOLD DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553
Mailing Address - Country:US
Mailing Address - Phone:925-957-5109
Mailing Address - Fax:925-957-5156
Practice Address - Street 1:1340 ARNOLD DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553
Practice Address - Country:US
Practice Address - Phone:925-957-5109
Practice Address - Fax:925-957-5156
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA187121041C0700X
CALCSW784491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical