Provider Demographics
NPI:1093913329
Name:ESTIKTA, KOY KATE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:KOY
Middle Name:KATE
Last Name:ESTIKTA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:L
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:337 W CLARK ST STE 8132
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-9903
Mailing Address - Country:US
Mailing Address - Phone:707-599-2830
Mailing Address - Fax:
Practice Address - Street 1:337 W CLARK ST STE 8132
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-9903
Practice Address - Country:US
Practice Address - Phone:707-497-6070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-09
Last Update Date:2020-11-24
Deactivation Date:2015-07-31
Deactivation Code:
Reactivation Date:2016-03-29
Provider Licenses
StateLicense IDTaxonomies
CA772631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical