Provider Demographics
NPI:1245037977
Name:SIRIKWA, ANNA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:SIRIKWA
Suffix:
Gender:
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:PO BOX 716
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-0716
Mailing Address - Country:US
Mailing Address - Phone:888-410-5230
Mailing Address - Fax:573-271-5108
Practice Address - Street 1:3600 I 70 DR SE STE C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6583
Practice Address - Country:US
Practice Address - Phone:888-410-5230
Practice Address - Fax:573-271-5108
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20120158531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical