Provider Demographics
NPI:1659321784
Name:CLARKIN, ANNE ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:ELIZABETH
Last Name:CLARKIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:ELIZABETH
Other - Last Name:CLARKIN-WATTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3705 COCONINO CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-2611
Mailing Address - Country:US
Mailing Address - Phone:619-525-3595
Mailing Address - Fax:
Practice Address - Street 1:2635 CAMINO DEL RIO S STE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3727
Practice Address - Country:US
Practice Address - Phone:619-992-0851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS126041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW12604Medicare ID - Type Unspecified