Provider Demographics
NPI:1083745871
Name:CASTELO, KATHERINE ELLEN (LICSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ELLEN
Last Name:CASTELO
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6709 BELLAMY AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-3025
Mailing Address - Country:US
Mailing Address - Phone:703-201-0108
Mailing Address - Fax:
Practice Address - Street 1:218 N LEE ST STE 201
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2631
Practice Address - Country:US
Practice Address - Phone:703-794-5203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040064111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical