Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES A FANUCCHI, LSW
ActiveClinical Social Worker · KENT, WA
Registration Details
- NPI Number
- 1346468964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2007 (19.034660870193 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LW00006266 (WA)
Practice Information
- Address
-
325 W GOWE STKENT, WA, 980325892Browse WA providers · Browse ZIP 98032
- Phone
- 2535209350
- Fax
- 2537354111
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in KENT, WA
| Name | Credential | NPI |
|---|---|---|
| KATHERIN RANZONI | MSW, MED., CCDC-I | 1619948312 |
| LESLIE F. GRAHAM | LICSW | 1669577714 |
| SANDIE LEISTIKO | MSW, MHP | 1336201730 |
| KATHARINE E. MCCORMACK | M.S.W. | 1225193832 |
| CHARLES S HERNDON | LSW | 1922207794 |
| MRS. KELLY KIMBERLY BENNETT-AURDAHL | LCSW | 1013167261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.