Provider Demographics
NPI:1992540496
Name:MALEWICZ, ANNA (MSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MALEWICZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ANIA
Other - Middle Name:
Other - Last Name:MALEWICZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1502 S MADISON ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1439
Mailing Address - Country:US
Mailing Address - Phone:253-230-9334
Mailing Address - Fax:
Practice Address - Street 1:7406 27TH ST W STE 210
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4637
Practice Address - Country:US
Practice Address - Phone:253-230-9334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA615693341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical