Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anna Haeun Kim Douglass, LICSW

Individual provider Clinical Social Worker · NPI 1225552045

Anna Haeun Kim Douglass, LICSW is a Clinical Social Worker in Sammamish, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

550 222nd Pl SE
Sammamish, WA 98074-7111
Phone: (425) 369-1111
Fax: (425) 369-1112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61155444 (WA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1225552045
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 2, 2017
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

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