1174097901 NPI number — ANNA MARGO AUSTING MSW, LSWAIC

Table of content: ANNA MARGO AUSTING MSW, LSWAIC (NPI 1174097901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174097901 NPI number — ANNA MARGO AUSTING MSW, LSWAIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AUSTING
Provider First Name:
ANNA
Provider Middle Name:
MARGO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW, LSWAIC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174097901
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
325 NINTH AVENUE, BOX 359797
Provider Second Line Business Mailing Address:
OUTPATIENT BEHAVIORAL HEALTH, ANNA AUSTING
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98104-2420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-774-9657
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 9TH AVE # 359797
Provider Second Line Business Practice Location Address:
OUTPATIENT BEHAVIORAL HEALTH #AUSTING, ANNA
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-2420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-744-9657
Provider Business Practice Location Address Fax Number:
206-744-9914
Provider Enumeration Date:
01/15/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SC61551610 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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