Provider Demographics
NPI:1043722077
Name:KAYATANI, CLAUDIA (LCSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:KAYATANI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 2183
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0022
Mailing Address - Country:US
Mailing Address - Phone:808-800-5705
Mailing Address - Fax:
Practice Address - Street 1:RAMSTEIN AFB
Practice Address - Street 2:86TH MDG
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09094
Practice Address - Country:US
Practice Address - Phone:637-146-2375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI38171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical