Provider Demographics
NPI:1073564332
Name:KLIMA, CATHERINE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:M
Last Name:KLIMA
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 1:171 SANTA FE LN
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-1624
Mailing Address - Country:US
Mailing Address - Phone:630-601-8660
Mailing Address - Fax:248-699-7851
Practice Address - Street 1:171 SANTA FE LN
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60480-1624
Practice Address - Country:US
Practice Address - Phone:708-425-8900
Practice Address - Fax:708-425-9612
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490099901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635925OtherBCBS
IL212986Medicare ID - Type Unspecified