Provider Demographics
NPI:1962017772
Name:SUTTER, ANGELA HELEN (MSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:HELEN
Last Name:SUTTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:HELEN
Other - Last Name:RIVERA/ ESSLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3820 FAWCETT AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-6733
Mailing Address - Country:US
Mailing Address - Phone:360-688-0166
Mailing Address - Fax:
Practice Address - Street 1:3820 FAWCETT AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-6733
Practice Address - Country:US
Practice Address - Phone:360-688-0166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker