Healthcare Provider Details

I. General information

NPI: 1992081186
Provider Name (Legal Business Name): ANNA GAN LIU LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9160 E BAHIA DR STE 107
SCOTTSDALE AZ
85260-1543
US

IV. Provider business mailing address

9160 E BAHIA DR STE 107
SCOTTSDALE AZ
85260-1543
US

V. Phone/Fax

Practice location:
  • Phone: 310-893-4455
  • Fax:
Mailing address:
  • Phone: 310-893-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS27491
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16803
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: