| Doctor Name: | MS. ANNE SEAGLE CARPENTER |
| NPI Number: | 1013004316 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCMSW |
| License Number: | LW00005847 |
| Business Practice Address: | 6920 220th St Sw Ste. 106 Mountlake Terrace, WA - 980432177 |
| Business Phone Number: | 4256409777 |
| Business Fax Number: | 4256405122 |
| Mailing Address: | 19700 Bing Rd, LYNNWOOD |
| State: | WA |
| Postal Code: | 980367118 |
| Phone Number: | 2065957822 |
| Fax Number: | 4256402618 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LW00005847 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |