Provider Demographics
NPI:1225138886
Name:LAFEMINA, KATHERINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:LAFEMINA
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 1:160 MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2568
Mailing Address - Country:US
Mailing Address - Phone:631-244-7187
Mailing Address - Fax:631-363-0822
Practice Address - Street 1:160 MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2568
Practice Address - Country:US
Practice Address - Phone:631-244-7187
Practice Address - Fax:631-363-0822
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR029264-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01482351Medicaid
NYN46721Medicare ID - Type Unspecified