Individual provider · Type 1 NPI

Anastacia Sergeyivna Kakorin

Clinical Social Worker · Everett, WA

NPI number 1780593764 Active

Practice location

811 Madison St
Everett, WA 98203-4543

Call (425) 212-4200 Map

Fax (425) 212-4201

Mailing address

PO Box 2569
Everett, WA 98213-0569

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWIA.SC.70133350 (WA)

Clinical Social Worker: 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 interpers…

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About NPI 1780593764

Anastacia Sergeyivna Kakorin's National Provider Identifier is 1780593764, issued on Sep 4, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Everett, WA. The record was last updated on Sep 4, 2026.