MEDICARE: ANNA RICHTER LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	44SL06667400	NJ
2	1041C0700X	Clinical Social Worker	LW61624539	WA

General Provider Information

NPI Number	:	1619638533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA RICHTER LICSW

Provider Business Mailing Address
First Line	:	3403 38TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-2220
Country	:	US
Telephone Number	:	239-850-1022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3403 38TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-2220
Country	:	US
Telephone Number	:	239-233-3522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2022
Last Update Date	:	12/17/2024

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Directions to “ ANNA RICHTER LICSW” Practice Location

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