Provider Demographics
NPI:1669215174
Name:ANDERSON, LUCINDA (LICSW)
Entity type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 W RIVERSIDE AVE STE 1600
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0406
Mailing Address - Country:US
Mailing Address - Phone:509-481-9629
Mailing Address - Fax:
Practice Address - Street 1:421 W RIVERSIDE AVE STE 1600
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0406
Practice Address - Country:US
Practice Address - Phone:509-481-9629
Practice Address - Fax:509-382-3538
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000096131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical