Provider Demographics
NPI:1245572445
Name:HALLER, KATRIN ANA (LCSW-C, LICSW)
Entity Type:Individual
Prefix:MS
First Name:KATRIN
Middle Name:ANA
Last Name:HALLER
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 THORNAPPLE ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4018
Mailing Address - Country:US
Mailing Address - Phone:240-464-5064
Mailing Address - Fax:844-444-0930
Practice Address - Street 1:3203 THORNAPPLE ST
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4018
Practice Address - Country:US
Practice Address - Phone:240-464-5064
Practice Address - Fax:844-444-0930
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500800911041C0700X
MD174231041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical