Provider Demographics
NPI:1942763107
Name:AKIM, CLAUDIA LYNN
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LYNN
Last Name:AKIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 PENNSYLVANIA ST SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98513-5091
Mailing Address - Country:US
Mailing Address - Phone:360-556-7105
Mailing Address - Fax:
Practice Address - Street 1:5875 PENNSYLVANIA ST SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98513-5091
Practice Address - Country:US
Practice Address - Phone:360-556-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC606134301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical