ANNA HAEUN KIM DOUGLASS LICSW
NPI 1225552045
Social Worker - Clinical in Sammamish, WA

Active since August 02, 2017
550 222ND PL SE, SAMMAMISH, WA 98074(425) 369-1111(425) 369-1112 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 28, 2022, Aug 2, 2017 (2 updates tracked since 2017).

About Anna Haeun Kim Douglass Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA HAEUN KIM DOUGLASS LICSW (NPI 1225552045) is an individual clinical provider in Sammamish, Washington, licensed in Washington (LW61155444) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1225552045
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNA HAEUN KIM DOUGLASSCredential: LICSW
Location Address550 222ND PL SESammamish, WA 98074-7111
Mailing Address550 222nd Pl SeSammamish, WA 98074-7111 · (425) 369-1111 · Fax (425) 369-1112
Fax(425) 369-1112
Sole ProprietorYes
Enumeration DateAugust 2, 2017
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
NPI 1225552045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW61155444
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

550 222ND PL SE, Sammamish, WA 98074

Other Names 1

Former Name (1)Haeun Anna Kim Licswa

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
550 222ND PL SE
SAMMAMISH, WA 98074
Social Worker (Clinical)
550 222ND PL SE
SAMMAMISH, WA 98074
Social Worker (Clinical)
550 222ND PL SE
SAMMAMISH, WA 98074
Counselor (Mental Health)
550 222ND PL SE
SAMMAMISH, WA 98074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Kim Douglass's NPI number?

The NPI number for Anna Kim Douglass is 1225552045. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Anna Kim Douglass located?

Anna Kim Douglass practices at 550 222nd Pl SE, Sammamish, WA 98074. The listed phone number is (425) 369-1111.

What is Anna Kim Douglass's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Anna Kim Douglass was last updated on September 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.