Healthcare Provider Details

I. General information

NPI: 1174097901
Provider Name (Legal Business Name): ANNA MARGO AUSTING MSW, LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE # 359797 OUTPATIENT BEHAVIORAL HEALTH #AUSTING, ANNA
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

325 NINTH AVENUE, BOX 359797 OUTPATIENT BEHAVIORAL HEALTH, ANNA AUSTING
SEATTLE WA
98104-2420
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-9657
  • Fax: 206-744-9914
Mailing address:
  • Phone: 206-774-9657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61551610
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: