Provider Demographics
NPI:1396919254
Name:STEVENS, ANN MCNAMARA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MCNAMARA
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9922 58TH ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5904
Mailing Address - Country:US
Mailing Address - Phone:253-265-2519
Mailing Address - Fax:
Practice Address - Street 1:5801 SOUNDVIEW DR
Practice Address - Street 2:SUITE 255
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-2095
Practice Address - Country:US
Practice Address - Phone:253-851-6178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000043331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical